Patient N.T.K, male, 48 years old, from Lang Giang (Bac Giang province) was admitted to the hospital in a state of general exhaustion, with signs of edema and high fever lasting 39-40°C for 10 days. Immediately upon admission, the patient required mechanical ventilation due to severe respiratory failure. In addition, the patient showed signs of septic shock and multiple organ failure with signs of low blood pressure, rapid pulse, rapid heart rate...
More than 1 month before being admitted to the hospital, the patient began to have lesions on his right ankle, but when the tumor ruptured and oozed fluid, instead of going to a medical facility, the patient continued to treat himself at home. At first, the patient was able to endure it, but about 10 days before being admitted to the hospital, the condition became more serious with symptoms of continuous high fever, more pus from the wound, swelling and pain, and widespread infection. The patient was taken to a medical facility for treatment and transferred to the Central Hospital for Tropical Diseases.
According to Dr. Luong Huong Giang, Department of Intensive Care: “This injury originated from a tumor in the ankle, a typical sign of gout, that ruptured. Instead of going to the hospital for proper treatment, the patient applied medicine and injected medicine at home, leading to an increasingly severe infection.
The patient was diagnosed with gout in 2016 on the basis of high blood pressure and diabetes but did not comply with treatment and regularly used painkillers of unknown origin. The patient's drug abuse not only made the gout worse but also weakened the immune system, making the body susceptible to infection and increasing the risk of dangerous complications. Previously, the patient's joints had also been deformed, creating lumps of different sizes, reducing mobility and causing chronic pain.
