Importance of case file mentioning blackened necrotic area

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Medical Moment: The patient, a 63-year-old alcoholic, was taken to the emergency room. He had a seizure and was treated with phenytoin. After admission to the hospital, he was seen to have his head bent backward and to have developed respiratory distress and unresponsiveness. On examination, he had a temperature of 41.7 C, low blood pressure, and a respiratory rate of 40/min (normal is 12-20). Spasms of the muscles of the jaw were also seen. Necrotic, blackened areas and ulcers were present over both feet. Tetanus was diagnosed, and treatment with antitoxin, antimicrobials, and vaccination, in addition to supportive care, was initiated. What is the importance of the case file mentioning blackened necrotic areas?

Reference no: EM133838144

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