This is an online E-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. CASE PRESENTATION: A 55 YEAR OLD MALE CAME WITH C/O ABDOMINAL DISTENTION SINCE 1 MONTH DECREASED APPETITE SINCE 20 DAYS FEVER SINCE 10 DAYS HOPI: 55YEAR OLD MALE RESIDENT OF NARKETPALLY MECHANIC BY OCCUPATION , CHRONIC ALCOHOLIC SINCE 30 YEARS 2 QUARTERS PER DAY AND CHRONIC SMOOKER SINCE 30 YEARS , 10 BEEDIS PER DAY HIS WIFE EXPIRED 3 YEARS AGO FROM THEN HE INCREASED THE ALCOHOL INTAKE . PATIENT WAS APPARENTLY ASYMPTOMATIC 1 MONTH BACK, THEN DEVELOPED ABDOMINAL DISTENTION WHICH IS INSIDIOUS IN ONSET AND GRADUALLY PROGRESSIVE. FEVER SINCE 10 DAYS WHICH IS OF HIGH GRADE, ASSOCIATED WITH CHILLS AND
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