A 48-year-old Guatemalan man detained at Stewart Detention Center suffered a severe E. coli infection in his leg after being injured while shackled in a transport vehicle and forced to sleep on a dirty concrete floor with leaking toilets. Medical staff did not adequately respond to his requests for help until he collapsed and required hospitalization; a doctor told him he narrowly escaped amputation. He was released in October 2025 as a legal permanent resident but struggles with lingering pain that prevents him from returning to construction work. The case is one of hundreds documented across at least 33 states where detainees allege medical neglect in ICE custody.