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A 57-year-old man was admitted to the hospital because of evidence of gram-negative bacteremia, with peripheral edema and erythema of the leg with bullae.
The patient had been well until six weeks earlier, when edema of the lower extremities developed. Evaluation at another hospital showed ascites in addition to peripheral edema. Serologic studies revealed evidence of chronic hepatitis due to the hepatitis B virus, and a liver biopsy disclosed chronic active hepatitis with postnecrotic cirrhosis. The patient's condition remained stable until six days before admission, when malaise began and the peripheral edema increased, especially in the left leg. Two days
Differential Diagnosis
Clinical Diagnosis
Dr. H. Shaw Warren's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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