Mr. T.V.T, 55 years old in Thanh Hoa was hospitalized in a critical condition after being stabbed into the left leg by the thorns. Initially, the wound was only a small round note, but after only two days, the area of the lesions swelled, edema, rough surface and spread quickly along the legs. The water balls appear scattered on the skin, accompanied by shortness of breath, hypotension and respiratory failure, causing the family to take the patient to the Central Tropical Diseases Hospital.
At the Emergency Department, the patient's condition was very serious with inflammation of the cellulose province, sepsis, septic shock and multiple organ failure. Skin damage is not only limited to the left leg but has spread to the right leg, thigh and arm at a very fast rate. The patient had to have an endotracheal tube, breathe on a ventilator and filter blood continuously to maintain vital function. The patient had a history of severe diabetes, although he had previously been controlled stably.
Test results showed that the level of infection and damage to organs was very serious. In addition, there are signs of metabolic acidosis, urinary incontinence and acute renal failure.
Currently, the entire left leg of the patient has spread, turning dark purple, tense and clearly deformed. The lesions spread from the ankles up to the thigh in less than 24 hours, while the other side also appears dark skin patches with the risk of body necrosis. Patients are being actively resuscitated with high -dose antibiotics, vasomotor drugs, continuous dialysis and mechanical ventilation support, but the prognosis is still very reserved with high risk of death.
MSc. Dr. Le Son Viet - Emergency Department, Central Hospital for Tropical Diseases - warned: Thyroid inflammation is a soft tissue infection that can start from small wounds but progress very quickly, especially dangerous for people with underlying diseases such as diabetes. Bacteria spread in subcutaneous tissue and the lymphatic system, causing inflammation, destroying muscle - tendon - soft tissue. If not treated promptly, it can lead to sepsis, multiple organ failure and death".
Dr. Viet also emphasized: "There is currently no vaccine or specific medicine to prevent cellulitis. People, especially those with underlying diseases such as diabetes, cardiovascular disease, and immunodeficiency, need to be careful when exposed to environment with the risk of infection such as mud, water fields, and mud. It is necessary to bring protective gear when wading in fields, ponds and ponds and treat wounds cleanly and disinfect them thoroughly. When showing signs of redness, swelling, heat, pain, blistering or rapidly spreading damage, you must go to a medical facility immediately to avoid serious consequences such as necrosis, amputation or death from septic shock".
