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 signifi
cant medical history showed pulmonary tuberculosis
(TB) in the past and chronic obstructive
lung disease (COPD), which was currently
being treated. His blood pressure at the hospita