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Friday 6 October 2017

CASE 456 : LEG GAS GANGRENE, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM













Man 41 yo,with  history of liver cirhosis and ascites. 3 days fever and pain at left swollen leg.
      [Foto1]. 



    Clinical suspected lower limb DVT

  • Ultrasound  ruled out DVT ( US 1=artery and vein at left inguinal), US 2   fluid collecting 
       between muscle quadriceps; US 3  scanning at calf  detected intramuscular  air
        US 4 air and  level.




MSCT non CE detected   air in calf muscles
CT 1  crossed section;  CT 2  sagittal scanning   


Blood test, WBC  no rising;    blood culture  detected  gram  negative bacillus, 
  •  For 24 hours after  hospital admission  patient was dead with  bullous legs [Foto2].




Blood culture identifies Aeromonas caviae.
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