China Journal of Leprosy and Skin Diseases ›› 2025, Vol. 41 ›› Issue (8): 601-603.doi: 10.12144/zgmfskin202508601

• Case Reports • Previous Articles     Next Articles

Lower limb erysipelas complicated with pulmonary thromboembolism: a case report

DING Jian1, NING Yong2, QIAO Meng3, ZHANG Wenjuan4, ZHANG Peipei5, LI Zhuqing6, NIU Guiye7,8   

  1. 1 Department of Burn and Plastic Surgery, Shandong Provincial Third Hospital, Jinan 250031, China; 2 Department of Burn and Plastic Surgery, The Armed Police Forces Hospital of Shandong, Jinan 250014, China; 3 Department of Dermatology, The First Affiliated Hospital of Shandong First Medical University, Jinan 250000, China; 4 School of Clinical Medicine, Jining Medical University, Jining 272067, China; 5 Department of Ultrasonography, The First Affiliated Hospital of Shandong First Medical University, Jinan 250000, China; 6 School of Clinical Medicine, Shandong Second Medical University, Weifang 261053, China; 7 Hospital for Skin Diseases, Shandong First Medical University, Jinan 250022, China; 8 Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan 250022, China
  • Online:2025-08-15 Published:2025-08-01

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Abstract: Erysipelas complicated with pulmonary thromboembolism is rare. A 68-year-old male presented with redness, swelling and heat pain on the right lower limb for 4 days. The diagnosis of erysipelas was made. After admission, deep venous thrombosis in his right lower extremity was found. During the treatment of erysipelas, he developed right chest pain and dyspnea, and was diagnosed with right pulmonary artery embolism. The patient was urgently transferred to the vascular surgery department for the placement of an inferior vena cava filter and catheter-directed thrombolysis in the pulmonary artery. Postoperatively, the patient recovered well. There was no recurrence during a 4-year follow-up.

Key words: erysipelas, pulmonary thromboembolism, deep veinous thrombosis