case_images: PMC11808713_01
case_images: (A) computed coronal tomography: presence of gas. Involvement of rotator cuff tendons, subacromial bursa and acromion; (B) computed tomography with axial analysis: gas in proximal humerus.
case_images: 1678-9946-rimtsp-67-S1678-9946202567009-gf01.jpg
case_images: PMC11808713_01_1678-9946-rimtsp-67-S1678-9946202567009-gf01.jpg
case_images: f01
case_images: Emilio Ribas, in Sao Paulo State, Brazil, with sepsis due to gas necrosis in his left arm. (Figures 1A and 1B). Even though the patient did not share his needles, he reported inadequate hygiene and storage of needles and syringes, which caused the material contamination that was responsible for the infection in his arm.
case_images: (A) deep infection with necrosis and an abscess; (B) Intra-operatory. Left arm with lesion measuring approximately 18,43 cm x 14,56 cm.
case_images: 1678-9946-rimtsp-67-S1678-9946202567009-gf02.jpg
case_images: PMC11808713_01_1678-9946-rimtsp-67-S1678-9946202567009-gf02.jpg
case_images: f02
case_images: Figures 2A and 2B show an extensive lesion involving deep tissues such as muscle and bone.
case_images: Post surgery. No motor deficits.
case_images: 1678-9946-rimtsp-67-S1678-9946202567009-gf03.jpg
case_images: PMC11808713_01_1678-9946-rimtsp-67-S1678-9946202567009-gf03.jpg
case_images: f03
case_images: Figure 3 shows full healing after 8 months.