Symmetrical peripheral gangrene complicating Klebsiella pneumoniae sepsis associated with antiphospholipid antibodies

Incipient symmetrical peripheral gangrene complicating pneumonia.

Abrahams (1948) reported a case of incipient symmetrical peripheral gangrene complicating paroxysmal tachycardia. Swan and Henderson (1951) reported two cases of the same condition in myocardial infarction. It may therefore be' worth while giving an account of another case of symmetrical peripheral gangrene, apparently provoked by pneumonia. The analytical studies of the gases of the arterial b...

Symmetrical peripheral gangrene associated with cardiac surgery

At this stage, we noticed bluish discoloration of all upper limb fingers [Figure 1], which was soon noticed in lower limb toes also. All peripheral pulses were palpable and of normal volume. Patient has a borderline cardiac output (3.8 L/min) and cardiac index (2.1 L/min/m2). A clinical diagnosis of systemic peripheral gangrene (SPG) was made. We started milrinone 0.3 μg/Kg/min at this point fo...

Symmetrical peripheral gangrene in sepsis after treatment with inotropes

Symmetrical peripheral gangrene (SPG) is characterized by sudden onset of peripheral, frequently symmetrical, gangrene in the absence of major vascular occlusive disease. We report a case of four limb SPG caused by septic shock with disseminated intravascular coagulation (DIC) that had been treated with inotropes. This case shows that SPG may be present as a complication of sepsis due to system...

Symmetrical Peripheral Gangrene

A 27-year-old woman presented to the clinic with well-demarcated symmetrical dry gangrene of all the toes. The onset was insidious during recent hospitalization for urosepsis and shock. There is no antecedent history of peripheral ischemia, use of oral contraceptive pill, or smoking. Her medical history is significant for hypertension and preeclampsia. Dorsalis pedis and posterior tibial pulses...

Symmetrical peripheral gangrene: a rare but dreadful complication of sepsis.