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Firstly, I have to give full credit to Duncan over at Yellow Bricks for drawing my attention to this VMware KB article from his blog posting here.
If you find that your ESX server is displaying one of the following symptoms:

… Then as part of the problem diagnosis process you will want to check the usual 4 core areas:
This VMware KB article gives good basic ‘starting place’ type information on how to check each of these potential problem areas on your ESX system which will hopefully assist in a speedy recovery.