Bedside
Rounds

Case #155Internal Medicine

Swollen Red Leg with High Fever and Confusion

Swollen Red Leg with High Fever and Confusion
At a glance
HR 118 bpm BP 88/54 SpO2 94% Serum Lactate: 3.4 mmol/L (Elevated)

"58M with swollen red right leg, high fever & confusion."

Patient History

A 58-year-old male retired bank clerk presents with a swollen red right leg, high fever, and confusion for 3 days. About 3 days ago he noticed a small cut on his right shin from bumping into a table.

Clinical Examination & Labs

The redness has been rapidly spreading upwards with high fever and rigors in a patient with poorly controlled Type 2 Diabetes Mellitus (HbA1c 9.2%).

Diagnostic Management Pathway

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