Patho: The infection most likely was introduced when the patient was undergoing his proctectomy. Patient also received chemotherapy and radiation, which has made him immunocompromised, making him more prone to infections hindering his body’s response to antigens. DS also suffers from cirrhosis, adding to his immunocompromised state and making him more susceptible to bacterial infections. The cirrhosis has an excessive inflammatory response to bacterial infections as well as with the hemodynamic dysfunction, complications arise, which can play into the necrotizing component to this infection. DS is also a former smoker, quite date was 2/2/20, which could have delayed the healing from his proctectomy due to the vasoconstriction that nicotine has on the body
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