]> 2026-07-31T09:40:51+00:00 WBR0621 0 en Vibrio vulnificus Yersenia enterocolitis Listeria monocytogenes Staphylococcus aureus Vibrio parahemolyticus Primary Care Office A 43 year old male, comes to the office with his wife complainting of severe fatigue and lethargy over the past 1 month. On further review of history, he says he had intermittent fatigue, lethargy, nausea, abdominal pain and joint pains for several years for which he never consulted a doctor. His wife says he has loss of libido and erectile dysfunction for the past few years. Previous they had normal sexual life. His past history is otherwise insignificant and his family history is unremarkable. He is a vegetarian and does not smoke and drink. On examinations, his temperature is 36.7 C, blood pressure is 130/70 mmHg, pulse is 72/min and respiration's are 16/min. Abdominal examination reveals mild abdominal pain on the right upper quadrant and profound hepatomegaly. His skin has golden blue hue. The patient is admitted and treated suppourtively. His serum biochemistry results shows Na:135 mEq/L, K: 3.5 mEq/L, Cl:104mEq/L, Bi: 24 mEq/L, BUN: 30 mg/dl, glucose:226 mg/dl, Mg:1mg/dl and Ca: 8mg/dl. His tranferrin saturation is 72%, serum ferritn is 500 ng/ml and serum iron levels are 300 µg/dl. Liver function tests shows very highly elevated bilirubin, AST and ALT levels. Liver biopsy done shows cirrhosis and his renal function tests are highly abnormal which warrants an immediate dialysis. You explain the patients disease to his wife and discuss about his prognosis. Which of the following may pose an increased risk of infection in this patient? C Gastrointestinal 2020-10-28T01:12:23Z 2459150.5502662 WBR0621