Necrotising infection

Case contributed by Dr J Yeung

Presentation

Diabetes and stroke with right hemiplegia, presented with shock and disseminated intravascular coagulation. She was found to have tense and pale right lower limb. CT angiogram was book because limb ischaemia with compartment syndrome was suspected.

Patient Data

Age: 70
Gender: Female
X-ray
CT

Case Discussion

Patient's leg radiograph showed gas densities within the calf muscles. CT showed large amount of gas within the muscles, and small amount of gas within veins, subcutaneous fat and bone. Findings are compatible with necrotising infection, which is in keeping with presentation of shock and DIC. Foul smell was noted during amputation. Patient deteriorated after the operation and succumbed eventually.
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Case information

rID: 14026
Case created: 17th Jun 2011
Last edited: 18th Dec 2015
Inclusion in quiz mode: Included

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