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Figure 1. A 60-year-old man with diabetes mellitus and advanced cirrhosis underwent orthotopic liver transplantation that was complicated by an intraoperative myocardial infarction. His immunosuppressive regimen included tacrolimus and methylprednisolone, and his postoperative course was complicated by poor graft function with intrahepatic cholestasis, hyperglycemia, and progressive renal failure, as well as vancomycin-resistant Enterococcus faecium bacteremia and Candida parapsilosis fungemia. Laboratory studies revealed persistent leukocytosis with a leftward shift and low serum iron levels. At the end of the first postoperative week, a skin lesion developed above the patient's right eye; the lesion was initially erythematous and subsequently enlarged and . . . [Full Text of this Article] |
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