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A 40-year-old male intravenous drug misuser presented to the emergency department with a 1-month history of a painful swollen right lower limb. On examination, he was dehydrated, tachycardic and dyspnoeic. Multiple needle marks were identified within the right groin. Extreme right thigh tenderness was elicited on palpation and a fixed flexion deformity of the right hip was present. Laboratory indices revealed a markedly raised white cell count of 78.4×109/l, elevated creatinine of 277 μmol/l and a Staphylococcus …
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