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. The patient required multiple surgical debridements, broad-spectrum antimicrobial therapy, strict glycemic control, and coordinated multidisciplinary care, ultimately achieving complete recovery. This case highlights the unusual occurrence of bilateral chest wall NF with mediastinal extension and the rare development of NF in the contralateral lower limb. It emphasizes the importance of early recognition, repeated surgical debridement, and comprehensive whole-body examination in diabetic patients presenting with sepsis, as additional or distant sites of infection may otherwise be overlooked.
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Hussain et al. (2026) studied this question.
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