Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 50: Seaside Septicemia (continued)

Anurag Maheshwari, MD

A 60-year-old Asian woman presented to our clinic with complaints of fever, abdominal pain, and increasing abdominal girth. The patient had cirrhosis due to chronic hepatitis C virus and reported a 2-day history of fever up to 39°C. She reported malaise and mild confusion. Past medical history was remarkable for prior episodes of esophageal variceal bleeding treated with band ligation. She had hepatic encephalopathy, along with ascites controlled with diuretics. She was listed for liver transplantation at our institution. Other medical problems included diabetes mellitus and a history…