case_images: PMC7102455_01
case_images: Horizontal section of neck computed tomography (CT) with contrast showing retropharyngeal and bilateral peritonsillar multiloculated enhancing fluid collections in addition to thrombosis of the left retromandibular vein and punctate foci within the left internal jugular vein.
case_images: CRIID2020-4346937.001.jpg
case_images: PMC7102455_01_CRIID2020-4346937.001.jpg
case_images: fig1
case_images: A repeat neck computed tomography (CT) with contrast (Figure 1) showed persistent retropharyngeal and bilateral peritonsillar multiloculated enhancing fluid collections.
case_images: Horizontal section of chest computed tomography (CT) with contrast showing left-sided, multiloculated pleural effusion, status postplacement of pigtail catheter. Multifocal areas of necrotizing pneumonia and multiple pulmonary abscesses with smaller right-sided pleural effusion are also shown.
case_images: CRIID2020-4346937.002.jpg
case_images: PMC7102455_01_CRIID2020-4346937.002.jpg
case_images: fig2
case_images: On the day of admission, the patient underwent computed tomography (CT) guided empyema drainage with placement of left-sided chest tube (Figure 2).
case_images: Horizontal section of magnetic resonance imaging (MRI) of lower extremities, with and without contrast, showing edema within the fascial compartments between the right gastrocnemius and right soleus muscles, as well as in the superficial fascia. A crescent-shaped subfascial fluid collection was also noted over the medial head of the right gastrocnemius muscle, indicative of fasciitis.
case_images: CRIID2020-4346937.003.jpg
case_images: PMC7102455_01_CRIID2020-4346937.003.jpg
case_images: fig3
case_images: The following day, a magnetic resonance imaging (MRI) of the right lower leg, with and without contrast (Figure 3), showed edema within the fascial compartments between the gastrocnemius and soleus muscles, as well as in the superficial fascia.