Fig. 1A–D.

A 79-year-old fisherman with liver cirrhosis, hepatitis, and diabetes mellitus had direct contact of his right forearm with a fish. His right forearm had (A) hemorrhagic bullous lesions on the dorsal side and (B) patchy erythema on the medial side before surgery. After emergency fasciotomy, (C) progressive skin necrosis and (D) slightly cyanotic change of the underlying muscles were observed on his forearm. He was treated with skin graft coverage and was discharged 41 days after the first surgery.