13th June 2024

A 35-year lady presents with sudden onset pain in the perineal area

A 35-year lady presents with sudden onset pain in the perineal area. She is known to have hereditary spastic paraplegia and is bed bound with double incontinence. She has a long-term urinary catheter. She is tachycardic, with a Blood pressure of 80/50. Clinical examination showed labial inflammation and swelling in the perineum with dark spots on the skin and foul-smelling discharge. Skin swab shows polymicrobial infection. What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.