case_images: PMC9899103_01
case_images: An open fracture of the left lower leg with soft tissue infection
case_images: cureus-0015-00000033404-i01.jpg
case_images: PMC9899103_01_cureus-0015-00000033404-i01.jpg
case_images: FIG1
case_images: In addition, an open fracture of the left lower extremity caused soft tissue infection as a route of infection and caused sepsis (Figure 1).
case_images: Purpura and ulcers on the back
case_images: cureus-0015-00000033404-i02.jpg
case_images: PMC9899103_01_cureus-0015-00000033404-i02.jpg
case_images: FIG2
case_images: On the ninth hospital day, we conducted a skin biopsy of the purpura and ulcers on the back to identify the cause of capillary leak syndrome (Figure 2).
case_images: Skin biopsy. Hematoxylin and eosin stain showing necrotizing vasculitis. Pathology findings include inflammatory cell infiltrates, such as polymorphonuclear leukocytes and edema in some areas of the shallow dermis, and fibrin deposition and inflammatory cell infiltration in some small vessels' walls (black arrows).
case_images: cureus-0015-00000033404-i03.jpg
case_images: PMC9899103_01_cureus-0015-00000033404-i03.jpg
case_images: FIG3
case_images: Histopathological examination of the skin revealed active vasculitis (Figure 3).
case_images: Pelvic computed tomography showing free air just below the abdominal wall (red arrows) and between the small intestine (white arrows)
case_images: cureus-0015-00000033404-i04.jpg
case_images: PMC9899103_01_cureus-0015-00000033404-i04.jpg
case_images: FIG4