 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 rouled 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, 24 hours after admission hospital patient died with bullous leg [Foto2]  |
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CASE 456 : LEG GAS GANGRENE, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM
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