A48-year-oldmanwithhypertension,coronaryarterydisease,andobesitypresentedwitha6-weekhistoryofnausea,vomiting,decreasedoralintakewith40-poundweightloss,andlethargy.Laboratoryresultsweresignificantforlowplateletcountofpermm3,slightelevationofprothrombintime/partialthromboplastintimeandinternationalnormalizedratioacutekidneyinjury,andmildelevationoftransaminases.Initial