PRESENTATION OF CASEA 46-year-old woman was admitted to the hospital because of fever and abdominal pain.Except for mild hypertension she was well until five months previously, when her menses ceased. During the two months before admission she complained of hot flashes, sweats, and depression. Two weeks before entry suprapubic pain developed and radiated to the right lower abdominal quadrant and right flank and intermittently to the left lower quadrant; the pain was aggravated by walking. Fatigue, anorexia, and mild constipation occurred. For several days before entry she had fever and chills.There was no history of nausea, vomiting, . . .