Journal Article10.1056/NEJM199411173312009
Case 41-1994
4
TL;DR: 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.
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Abstract: Presentation of Case 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 . . .
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Reticuloendothelial System Phagocytic Activity in Cirrhosis and Its Relation to Bacterial Infections and Prognosis
TL;DR: It is suggested that decompensated cirrhotics with depressed reticuloendothelial system phagocytic activity are at great risk to acquire bacteremia, and that reticulendothetic activity has prognostic value in cirrhosis.
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Cholera and Other Vibrioses in the United States
Morris Jg,Robert E. Black +1 more
TL;DR: Cases have again been reported in the United States and cholera is now apparently endemic along the U.S. Gulf Coast and vibrio species other than Vibrio cholerae have been found.
470
Syndromes of Vibrio vulnificus Infections: Clinical and Epidemiologic Features in Florida Cases, 1981-1987
Karl C. Klontz,Spencer Lieb,Minnie Schreiber,Henry T. Janowski,Linda M. Baldy,Robert A. Gunn +5 more
TL;DR: Clinicians should ask about marine exposures in patients with underlying medical conditions, especially liver disease, who present with unexplained febrile illness, and should start appropriate therapy promptly.
417
Mesophilic Aeromonads in Human Disease: Current Taxonomy, Laboratory Identification, and Infectious Disease Spectrum
J M Janda,Duffey Ps +1 more
TL;DR: Although the role of mesophilic aeromonads as important agents of bacterial gastroenteritis remains unconfirmed because of the inability to fulfill Koch's postulates (no animal model), several lines of compelling clinical and laboratory evidence indicate that these microorganisms are significant enteric pathogens.
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