Sixteen-Year-Old Female Adolescent With Fever and Altered Mental Status

A female adolescent presented to the emergency department with altered level of consciousness, fever, and hypotension. Initial management was focused on acute resuscitation. Shortly after arrival, the search for the cause of the patient's shock became acutely focused due to the finding of a positive urine pregnancy test result, but the ultimate etiology of her decompensation was not fully determined until days later in the intensive care unit.