PMC5826092_01
Photograph of right thigh and buttock induration and oedema in case 1 from previous bilateral silicone filler augmentation.
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After 7 years, she developed spontaneous, gradual, bilateral buttock induration, oedema, and erythema, particularly evident on the right side (Figure 1), as well as left hip pain.
Anteroposterior radiographs demonstrating loosened left total hip arthroplasty components, with superior migration of the acetabulum in case 1.
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Radiographs revealed loosening of the left THR components, with superior migration of the acetabulum (Figure 2).
Photograph of left hip wound dehiscence in case 1 following 2-stage revision total hip arthroplasty.
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However, teicoplanin was continued in view of the short duration of antimicrobial-free interval, wound dehiscence, and underlying haematoma that were washed out and reclosed (Figure 3).
PMC5826092_02
Photograph of lower legs in case 2 demonstrating bilateral scarring and contour deformities from previous trauma, with right posterior leg swelling and erythema.
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A 51-year-old woman presented with a 1-week history of worsening right lower leg pain, swelling, and erythema treated unsuccessfully with oral antibiotics in the community (Figure 4). She was involved in a road traffic accident at the age of 16 years, with severe soft tissue trauma of bilateral lower limbs and buttocks (Figures 4 and 5).
Photograph of right buttock in case 2 showing area of discolouration, scarring, and contour deformity from previous trauma.
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She was involved in a road traffic accident at the age of 16 years, with severe soft tissue trauma of bilateral lower limbs and buttocks (Figures 4 and 5).
Photograph of right lower leg in case 2 to demonstrate extent of redness, swelling, and induration from previous silicone filler injections.
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At presentation, the right leg was indurated, erythematous, warm, but with no focal fluctuance (Figure 6).