Q. A 50-year-old male presents to the emergency room with severe abdominal pain, nausea, vomiting, altered mental status, and signs of shock. The patient has a history of glucocorticoid therapy for an autoimmune disease and has been recently diagnosed with an infection. Vital signs show low blood pressure, high heart rate, and low blood sugar levels. Which of the following is the most likely diagnosis based on the given information?