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CASE REPORT
Year : 2012  |  Volume : 39  |  Issue : 1  |  Page : 26-28

Cellulitis and deep venous thrombosis: A rare association


1 Department of Paediatrics, J.N. Medical College and KLES Dr. Prabhakar Kore Hospital and MRC, Belgaum, India
2 Department of Paediatric Surgery, J.N. Medical College and KLES Dr. Prabhakar Kore Hospital and MRC, Belgaum, India
3 Department of Surgery, J.N. Medical College and KLES Dr. Prabhakar Kore Hospital and MRC, Belgaum, India

Correspondence Address:
S M Jali
Department of Paediatric, J.N. Medical College, Belgaum
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-5009.96468

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A nine-year-old male child presented to us with a history and clinical examination suggestive of bilateral lower limb cellulitis. Investigations revealed leucocytosis, decreased Protein S levels, and growth of methicillin-resistant Staphylococcus aureas in the blood and pus cultures. A Doppler study revealed bilateral lower limb deep vein thrombosis (DVT). The child underwent fasciotomies under the cover of antibiotics and the DVT was treated with heparin followed by oral anticoagulation. In cases of cellulitis, DVT should be ruled out, as the clinical features of cellulitis may mask those of DVT, leading to missed diagnosis and serious complications.


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