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A febrile woman with pain in the left lower extremity
  1. Shogo Shirane1,
  2. Shota Fukai2,
  3. Hiraku Funakoshi1
  1. 1 Emergency and Critical Care Medicine, Tokyobay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan
  2. 2 General Surgery, Tokyobay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan
  1. Correspondence to Dr Hiraku Funakoshi, Emergency and Critical Care Medicine, Tokyobay Urayasu Ichikawa Medical Center, Urayasu 2600843, Chiba, Japan; hfunakoshi-tbmc{at}umin.org

https://doi.org/10.1136/emermed-2020-209979

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    Clinical introduction

    A 70-year-old woman was transported to the emergency department with fever and pain in her left lower extremity from 2 days. She had no history of recent trauma. Her vital signs were stable except for high fever. Her left lower extremity was swollen with erythema, especially around the medial malleolus. Soon after arrival, some blisters appeared around her left ankle. We consulted a surgeon, who made a small incision in the compromised area under local anaesthesia. An outflow of clear transudate was established, and he …

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    Footnotes

    • Contributors All authors drafted and critically reviewed the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting or dissemination plans of this research.

    • Provenance and peer review Not commissioned; internally peer reviewed.