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J Clin Med Res 2017;9:23347.ArticlePubMedPMC 28

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Its uncomfortable for sure but can be managed with prophylactic antihistamines/steroids if penicillin is for sure the indicated antibiotic

Keywords Hepatic encephalopathy, Liver cirrhosis, Ammonia Introduction Hepatic encephalopathy (HE) is a serious and common complication of liver dysfunction, encompassing a broad spectrum of neurocognitive and psychomotor dysfunction ranging from disorientation to coma