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CHALLENGING CLINICAL CASE NO. 03/2001

A 62-year-old physician was well until 3 weeks ago when she developed a urinary tract infection. She was treated with ampicillin for 10  days, taking her last dose 7 days ago. Four days ago, she developed abdominal pain, fever, and bloody diarrhea. On examination, she appears acutely ill; her temperature is 38-3C (101F) and her abdomen is diffusely tender. Sigmoidoscopy demonstrates a hyperemic mucosa studded with plaquelike lesions. The most likely diagnosis i

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