PMC9130855_01
Clinical presentation of the patient. (A) At the admission to ICU, it could be seen the moderate swelling, hemorrhagic blisters and bullae, marked pain with movement, and overlying erythema of his left lower limb. (B) Three days after admission, the area of redness and swelling of the left lower limb gradually spread to the root of the thigh and perineum.
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F1
On physical examination, moderate swelling, hemorrhagic blisters and bullae, marked pain with movement, and overlying erythema of his left lower limb were found (Figure 1). However, although the patient's hemodynamics was gradually improving after the antibiotic treatment, the area of redness and swelling of the left lower limb gradually spread to the root of the thigh and perineum (Figure 1).
MRI plain scans of the left lower limb.
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F2
At this time, magnetic resonance imaging (MRI) was taken and showed diffuse swelling in bilateral buttock, erector spinal muscle, left thigh root, left lower limb muscle, and muscle space (Figure 2).
Clinical course with laboratory results and treatment. MEM, meropenem; DAP, daptomycin; TZP, piperacillin/tazobactam; CLDM, clindamycin; CRP, C-reactive protein; TBIL, total bilirubin levels; PLT, platelets; CRE, creatinine; NE, noradrenaline; HFNO, high-flow nasal oxygen; CRRT, continuous renal replacement therapy; IVIG, intravenous immunoglobulin.
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F3
The clinical course with laboratory results and treatments was concluded in Figure 3.