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A 73-year-old man with a history of colon cancer presented to the emergency department with a three-day history of pain in the right hip, without a history of trauma. He was admitted to the coronary care unit for management of a third-degree atrioventricular block. He was febrile, with leukocytosis; blood cultures were ordered, and antibiotic therapy was begun. Seven hours after admission, swelling of the right leg was noticed, along with blisters and soft-tissue crepitus. A computed tomographic scan showed gas and extensive myonecrosis in the right leg (Panel A) and pelvis (Panel B). According to the patient's advance directive, . . . [Full Text of this Article] |
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