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.

REFERENCE :

http://www.ajemjournal.com/article/S0735-6757(08)00139-3/pdf