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Acute compartment syndrome is a surgical emergency requiring immediate fasciotomy. Spontaneous onset of acute compartment syndrome of the lower limbs is rare. We present a very rare case of pneumococcal sepsis leading to spontaneous acute compartment syndrome.    Case presentation  A 40-year-old Caucasian man presented as an emergency with spontaneous onset of pain in both legs and signs of compartment syndrome. This was confirmed on fasciotomy. Blood culture grew  Streptococcus pneumoniae .    Conclusion  Sepsis should be strongly suspected in bilateral acute compartment syndrome of spontaneous onset.

Pneumococcal sepsis presenting as acute compartment syndrome of the lower limbs: a case report