case_images: PMC11333241_01
case_images: Recurrent rashes and multiple abscesses at admission. (A) Recurrent rashes in shoulder; (B) recurrent rashes in back. (C) Abscesses in scrota; (D) abscesses in left neck (8 cm * 7 cm); and (E,F) abscess incision drainage.
case_images: fmed-11-1392430-g001.jpg
case_images: PMC11333241_01_fmed-11-1392430-g001.jpg
case_images: fig1
case_images: A 33-year-old young man with no previous medical history was admitted to our hospital due to recurrent rash on the head and neck, shoulder and back for 2 years, rupture of a left neck mass, and multiple abscesses throughout the body for half a year, which aggravated for 1 month (Figure 1). Before admission, the patient felt that the skin on the left neck is significantly elevated, forming a round soft mass with a diameter of 8 cm, with clear boundaries and a sense of fluctuation (Figure 1).
case_images: The presentation of CT on neck/chest at admission to ICU and 7th day after adjustment of antibiotic therapy. (A) Abscess in the left neck; subcutaneous emphysema in left maxillofacial and neck at admission to ICU; (B) Mediastinal emphysema; pneumonia; abscess in the right lung; large amount of fluid pneumothorax on the right side; pneumothorax on the left side at admission to ICU; (C) Partial absorption of subcutaneous emphysema in the left maxillofacial, cervical regions mediastinal on Day 21; and (D) Partial absorption of emphysema in mediastinal and pneumothorax on Day 21.
case_images: fmed-11-1392430-g002.jpg
case_images: PMC11333241_01_fmed-11-1392430-g002.jpg
case_images: fig2
case_images: On day 7, computerized tomography (CT) revealed mediastinal emphysema and subcutaneous emphysema in left maxillofacial, neck and chest, multiple lung abscesses and pneumonia, large amount of fluid pneumothorax on the right side, and moderate pneumothorax on the left side (Figure 2). On the 5th day after the thoracic operation, CT showed partial absorption of mediastinal emphysema and subcutaneous emphysema in the left maxillofacial, cervical regions and chest (Figure 2).