Death certificate reveals all the ailments Hugh Hefner had been battling

Playboy founder Hugh Hefner was dealing with several health conditions at the time of his death last week at the age of 91.

TMZ published a partially redacted copy of Hefner’s death certificate, which listed cardiac arrest as the immediate cause of death.

Aside from the primary cause and the apparently associated respiratory failure, the document listed two other less common contributing factors.

Hefner reportedly suffered from septicemia, an inflammatory condition typically sparked by a blood infection.

He had also been battling the effects of exposure to the E. coli bacteria, which the death certificate reported was “highly resistant to antibiotics.”

Both of the contributing factors were listed as ailments Hefner had been battling for six days prior to his death.

In the weeks leading up to his death, sources close to him said he had been facing mounting health issues.

On top of back problems dating back several years, he reportedly fell ill after contracting an infection last year. Sources said that setback exacerbated his existing conditions.

The infection’s toll was “debilitating,” one source said, adding Hefner “could barely walk with out assistance and was bedridden” shortly after getting sick.

“Family and friends knew it would probably be too much for him,” one family friend said.

In an Instagram post after his death, Pamela Anderson, who appeared in Playboy numerous times throughout her career, referenced Hefner’s frail health during their last visit.

Goodbye #Hef Mr Hefner I have so many thoughts, I have no brain n right now to edit I am me because of you You taught me everything important about freedom and respect. Outside of my family You were the most important person in my life. You gave me my life… People tell me all the time That I was your favorite… I'm in such deep shock. But you were old, your back hurt you so much. Last time I saw you You were using a walker. You didn't want me to see. You couldn't hear. You had a piece of paper in your pocket you showed me – with my name Pamela with a heart around it. Now, I'm falling apart. This feeling is so crazy. It's raining in Paris now. I'm by the window. Everything anyone loves about me is because you understood me. Accepted me and encouraged me to be myself. Love like no one else. Live recklessly With unfiltered abandon. You said the magazine was about a girl like me. That I embody the spirit you fantasized about. I was the one. You said. I can hear you say – Be brave. There are no rules. Live your life I'm proud of you. There are no mistakes. And with men – Enjoy … (Your wonderful laugh) You have the world by the tail You are a good girl And you are so loved – You are not crazy. You are wild and free Stay strong, Stay vulnerable. … "It's movie time" You loved my boys … You were always, always there for us. With your love Your crazy wisdom. I will miss your everything. Thank you for making the world a better place. A freeer and sexier place. You were a gentleman charming, elegant, chivalrous And so much fun. Goodbye Hef … Your Pamela 💋

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“Last time I saw you you were using a walker,” Anderson wrote in her ode to Hefner, adding “your back hurt you so much.”

[Featured image: Associated Press]