case_images: PMC10791430_01
case_images: Discoloration was observed on the right medial ankle upon the patient's admission (a). Subsequently, on the third day of admission, a follow-up examination revealed the persistence of discoloration at the same location (b).
case_images: CRIPE2024-6630842.001.jpg
case_images: PMC10791430_01_CRIPE2024-6630842.001.jpg
case_images: fig1
case_images: Notably, a bruise was noted at the medial right malleolus; however, there were no discernible fang marks present in the area (Figure 1(a)). The bruise on his right ankle progressively extended below the knee, exhibiting necrotic changes in the skin tissues (Figure 1(b)).
case_images: On the second day of admission, video electroencephalography (EEG) monitoring was conducted. The patient's clinical presentation was consistent with a diagnosis of the comatose stage. The recorded EEG findings revealed normal patterns during wakefulness (a) and normal nonrapid eye movement (non-REM) sleep stage 2 (b).
case_images: CRIPE2024-6630842.002.jpg
case_images: PMC10791430_01_CRIPE2024-6630842.002.jpg
case_images: fig2
case_images: Electroencephalography examinations unveiled unremarkable patterns during both wakefulness (Figure 2(a)) and sleep (Figure 2(b)) states.
case_images: Computed tomography of the brain revealed diffused brain edema with white cerebellum sign.
case_images: CRIPE2024-6630842.003.jpg
case_images: PMC10791430_01_CRIPE2024-6630842.003.jpg
case_images: fig3
case_images: Notably, computed tomography scans with contrast media of the brain revealed generalized brain edema and white cerebellum sign (Figure 3).