An 86-year-old man presented with bilateral thigh pain and ambulatory disability. He had a history of arterial disability that had been treated with ACE inhibitors. The patient had previously developed prostate cancer and had been treated with radical prostatectomy and adjuvant radiotherapy . The complications arose 10 years later. CT scan images have been provided. Lab tests revealed serum leukocytes of 9030 cells/mm 3 and CRP of 11.9 mg/L.
There was a deep abscess in the left limb close to the femoral vessel, making drainage difficult. Surgical drainage of the right limb was performed, and Candida albicans colonies were isolated from the fluid. The patient was started on fluconazole therapy. The condition was further complicated by Pseudomonas aeruginosa infection of the surgical wound, which was subsequently treated with ciprofloxacin and ceftazidime . A CT scan performed 10 days…