PMC6336608_01
PMC6336608_02
Aspect of lesion during admission for both lower limbs.
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F1
She presented crusted lesions without secretion in the posterior region of the forearm; abscess in the right and left posterior coxofemoral region, with a necrotic crust and purulent secretion drainage through orifice; and abscess in gluteus and in the right and left perineal regions, with areas of coagulation necrosis and fetid odor (Fig. 1).
PMC6336608_03
Aspect of lesion after surgical debridement in the right lower limb (September 06, 2015).
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F2
Figure 2 presents the aspect of lesion after urgent surgical debridement.
PMC6336608_04
Aspect of lesion in the right and left perineal region (September 29, 2015). Granulation tissue is noted in the right lesion and liquefaction necrosis in the left lesion.
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F3
On the day of September 29, 2015, the patient presented lesions in both posterior regions of thigh and gluteus, granulation tissue in the right lower limb and necrotic tissue in the left lower limb (coagulation and liquefaction), as presented in Figure 3.
Aspect of lesion after surgical debridement on October 20, 2015.
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F4
October 03, 09, and 20, 2015. On October 20, surgical incision was carried out in gluteus and extended until the distal region of the thigh (posterior aspect), as shown in Figure 4.
Hermetically closed dressing on both lower limbs.
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F5
Pad, KCI, INC) was installed at 125 millimeters of mercury (mm Hg) in continuous mode and high intensity on lower limbs (Fig. 5).
Left (A) and right (B) lower limb lesion with granulation tissue throughout its length, absence of exudate and epithelialized edges, and skin hyperpigmentation, after suspension of negative pressure wound therapy at 125 mm Hg. mm Hg = millimeters of mercury.
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F6
The dimensions of the wound after negative pressure wound therapy suspension were 18 cm in length and 6 cm in width in the right lower limb and 10 cm in length and 12 cm in width in the left lower limb (Fig. 6).