30 year old female with newly diagnosed Diffuse Large B cell Lymphoma treated with chemotherapy Developed a GI bleed Dev

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answerhappygod
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30 year old female with newly diagnosed Diffuse Large B cell Lymphoma treated with chemotherapy Developed a GI bleed Dev

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30 year old female with newly diagnosed Diffuse Large Bcell Lymphoma treated with chemotherapy
Developed a GI bleed
Developed skin changes on her flank thought to benecrotizing fasciitis
Underwent extensive debridement
Pertinent Lab Studies
PT/INR 16 secs./1.6
Fibrinogen 50 mg/dL
Fibrin degradation products >80
Platelet count 65,000/uL
Hemoglobin in the 6-8 g/dL
Room air ABG: pH 7.22 PCO2 29 PO2 78 HCO3- 11.
What is the most likely diagnosis for thispatient?
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