case_images: PMC9850853_01
case_images: CT scan of the thighs. CT scan of the thighs showed evidence of increased fatty tissue density all around the right thigh.
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case_images: Thoraco-abdominal and pelvic CT examination displayed predominant right lower leg swelling, subcutaneous edema, and increased adipose tissue signals in the entire right femoral region (Figure 1).
case_images: Clinical course after ICU admission. CHDF, continuous hemodiafiltration; dBP, diastolic blood pressure; HR, heart rate; NAD, noradrenaline; PMX-DHP, polymyxin B immobilized fiber column direct hemoperfusion; sBP, systolic blood pressure
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case_images: Figure 2 shows the time course of changes in hemodynamics on ICU admission Day 1.
case_images: Wound cleaning and debridement. (A) Fasciotomy was performed at the site of erythema in the lower abdomen and proximal right thigh. (B) The wound was cleaned, and debridement was performed daily. This photograph was taken after the procedure on the 10th day after admission to the ICU.
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case_images: Wound lavage was performed daily, along with blunt scraping of subcutaneous and inter-fascial tissue and debridement (Figure 3).