An 11-year-old girl presented to our center with 51-day-old post-burn raw areas over both lower limbs. The patient had 15% total body surface area burns to begin with. She sustained the scald burn injuries by spillage of hot milk and was initially treated at several local hospitals where she received supportive care, intravenous antibiotics and the raw areas were managed with dressings. Since she had deep dermal wounds, there was no epithelization and she continued with local dressings at various peripheral medical centers. During the 50 d she was managed at three separate local hospitals and as the general condition continued to deteriorate, she was finally referred to our center on post-burn day 51. She had dextrocardia with small patent foramen ovale. She also had a past history of left common femoral vein thrombosis in her neonatal period which was successfully treated but the underlying etiology was not determined. Nothing significant. On presentation, she had systemic signs of inflammation, high fever, tachycardia and hypotension. Her general condition was poor with post-burn raw areas over the right thigh and groin and left thigh and leg. The right thigh had full thickness involvement over the anteromedial aspect with exposed thigh muscles There was slough and necrosis of surrounding soft tissues. The left thigh and leg had partially healing raw areas with pale granulation tissue over the anteromedial thigh, extending to the left leg. Blood investigations were suggestive of anemia (hemoglobin: 8.1 g%), leukocytosis (total leukocyte count: 73 700) with shift to the left (91% neutrophils), thrombocytopenia (platelets: 7.14 × 105), hypoproteinemia (3.3 g/dL) and hypoalbuminemia (1.3 g/dL). Liver and kidney function tests were within normal limits. Wound swab on presentation revealed Gram-negative coccobacilli. At presentation, chest X ray was suggestive of pleural effusion and abdominal ultrasonography revealed mild hepatomegaly. Postoperatively, computed tomography (CT) angiography was performed for bilateral lower limb vessels, which revealed acute thrombosis of the right external iliac artery and non-opacification of the right lower limb major vessels.