Two Cases of Deep vein Thrombosis That Doubts Cellulitis of the Leg

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  • 下肢の蜂窩織炎が疑われた深部静脈血栓症の2例
  • カシ ノ ホウカシキエン ガ ウタガワレタ シンブ ジョウミャク ケッセンショウ ノ 2レイ

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Abstract

A 66-year-old female patient presented with redness and swelling in her right leg. She had been diagnosed with cellulitis and treated with antibiotics, but there was no improvement of symptom; thus she visited our department. Since she had no fever, and inflammatory markers were low in her blood despite swelling of the leg, we suspected thrombosis. Based on MRI, she was diagnosed with secondary deep vein thrombosis caused by primary retroperitoneal fibrosis. An 87-year-old male patient had swelling in an area extending from the right leg to the dorsum of the foot. He had been diagnosed with cellulitis and treated with antibiotics, but there had been no improvement of symptoms. At his visit to our department, a distended and tortuous superficial vein was found in his right leg, but he had no fever, and inflammatory markers were low in his blood. Based on a CT scan, he was diagnosed with deep vein thrombosis. Cellulitis is a typical disease that may cause redness and swelling in the lower extremities. However, deep vein thrombosis may show similar symptoms in many cases, and it is important to consider this disease as a differential diagnosis.

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