A 47-year-old man from Surinam came to the emergency room because of a progressive burning chest pain. The pain had arisen acutely 2 days previously during dinner, increasing over time and restricting his oral intake because eating aggravated the pain.
The patient had a medical history of chronic alcoholic pancreatitis and type 2 diabetes mellitus.
Physical examination revealed an ill and confused man with fever and tachycardia. [...]