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Bilateral thigh necrotizing soft tissue infection

Bilateral thigh necrotizing soft tissue infection
The pictures illustrate a case of necrotizing soft tissue infection that presented as increasing confusion over a few days in a 72-year-old with diabetes but no history of dementia. The patient presented late with tenderness and skin changes of the bilateral thighs (A, left thigh). During surgical exploration and debridement (B, C) the characteristic appearance of necrotic skin, underlying fascia, and dish-water fluid drainage can be seen.
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