Fig. 2.

A 46-year-old male with a history of decompensated liver cirrhosis—Child C, alcoholism, hepatitis B, hepatoma, and end-stage renal disease receiving regular hemodialysis had left lower limb pain and conscious disturbance for one day. The left lower leg developed odor smell, hemorrhagic bullae, diffuse purpura, and necrotic skin lesions with diffuse oozing on the bed in the operation room. After fasciotomy and debridement, the culture of blood, tissue, pus, and wound specimens confirmed Aeromonas hydrophila; however, this patient died on the 10th day after admission owing to progressive septic shock, esophageal variceal bleeding, and multiple organ failure