Figure 1. Vesiculobullous lesions before treatment (A and B)
and after treatment (C and D)
In the primary tests performed; BUN and Creatinine increased compared to
the measured values in the Heart Center, there was also a decrease in
platelet count and a prolongation of PT and PTT, but the patient had no
evidence of hemorrhage and coagulopathy, and liver enzymes were within
the normal range (table 1); also, color doppler ultrasound of the
arteries and veins of the left upper extremity did not provide evidence
of thrombosis. The ultrasound also showed multiple fluid-containing
tracts, and according to surgical and orthopedic consultation, there was
no evidence of necrotizing fasciitis or compartment syndrome.
Table 1 . Results of initial tests and comparison with
measured values in the heart center