Patient got better with broad-spectrum antimicrobial therapy (third generation cephalosporins and metronidazole). Septic screen (sputum, blood, urine, stools) was negative, and the etiology of the sepsis is unclear.

This patient has been followed up in internal medicine for years for scleroderma.

This case shows a combination of thoracic (NSIP) and gastrointestinal findings (esophageal dilatation, small bowel dilatation, decreased peristalsis, duodenal diverticulum, large bowel dilatation with loss of haustra) consistent with scleroderma.