A female – 52 years consulted from internal department of Rangsit Hospital with complaints
were injuries and swelling on the lower left leg. The patient had been admitted to the ward for
5 days without clinical improvement. Initially, 4 days before admission, the patient was cut by
a stone on the left foot while cleaning the pond, the next day the patient feels swollen and her
legs felt increasingly severe and widespread with fever.
Physical examination Temp 38.4 oC
RR 24