A 51-year-old Thai man was brought to a rural hospital in Chiang Mai, Thailand, with the chief complaint of vomiting and diarrhea that started 1 hour after ingesting a cooked toad. He stated that he had vomited 10 times and passed watery diarrhea without blood or mucous 10 times prior to his arrival at the hospital. His sig-nifi cant medical history showed pulmonary tu-berculosis (TB) in the past and chronic obstruc-tive lung disease (COPD), which was currently being treated. His blood pressure at the hospital