This is to describe a case of a 76-year-old female with a history of phlebothrombosis of the left lower leg. The patient was admitted to the surgery department because of her fever of 101.1°F, malaise, left leg pain because of an inflammatory ulce (4 x 4 cm with a central necrosis) at the site of a minor injury from a blackberry birch.
After surgical wound debridement and antibiotic treatment, her condition rapidly progressed into septic shock.