PMC10257910_01
(A) The congestive right chest. (B) Purple and faint yellow blisters in right forearm. (C) Swollen soft tissue of the chest wall and swollen lymph nodes (the area circled) on the right armpit in CT. (D) Swollen right forearm and elbow joint.
IDR-16-3601-g0001.jpg
PMC10257910_01_IDR-16-3601-g0001.jpg
f0001
The right front chest and the back of the skin were congestive (Figure 1A). The forearm skin was redness with numerous fuchsia blisters and partially ruptured (Figure 1B). CT scan of the chest, and enlarged axillary lymph nodes are seen. (Figure 1C). CT scan of the right upper extremity shows signs of infection in the soft tissues of the skin (Figure 1D).
(A) New dark purple and faint yellow blisters developed, some of which were ulcerate at day 2. (B) The blister fluid ruptured and formed shallow ulcers at day 4. (C) The number of fluid blisters decreased and some began to scab at day 9. (D) Black crusts formed and began to fall off at day 14. (E) Some crusts were exfoliated at day 28.
IDR-16-3601-g0002.jpg
PMC10257910_01_IDR-16-3601-g0002.jpg
f0002
The next day, the patient's condition continued to progress, with a rise in temperature and the development of new blisters (Figure 2A).4 days later, the patient's temperature returned to normal, and the swelling and pain of the right upper reduced (Figure 2B). Axillary lymph nodes were significantly shrunk. 9 days later, there was a marked reduction in the number of blisters on the forearm, and some skin began to scab (Figure 2C). After 14 days, the swelling of the limb was significantly reduced and the activity was good (Figure 2D). The eschar began to fall off and gradually recovered (Figure 2E).