JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES

Article

Symmetric Peripheral Gangrene Secondary to Sepsis
  • VIEWS 318
  • PDF 114

Journal of Clinical and Biomedical Sciences

DOI: 10.58739/jcbs/v14i2.23.12

Year: 2024, Volume: 14, Issue: 2, Pages: 56-58

Case Report

Symmetric Peripheral Gangrene Secondary to Sepsis

Mani Mohan Reddy K P1,∗, Srinivasa S V2

1 Postgraduate, Department of General Medicine, Sri Devraj Urs Academy of Higher Education and Research, Kolar, Karnataka, India
2 Professor & HOU, Department of General Medicine, Sri Devraj Urs Academy of Higher Education and Research, Kolar, Karnataka, India

*Corresponding author email: [email protected]

Received Date:18 March 2024, Accepted Date:06 July 2024, Published Date:24 July 2024

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Symmetrical peripheral gangrene (SPG) is described as rapid onset of peripheral and symmetrical gangrene in the lack of large vessel occlusive disease with high mortality rate.1 Hereby reporting an event of Upper limb symmetrical gangrene caused by septic shock in MODS, Acute myocarditis and was managed by inotropes. The case shows Symmetrical peripheral gangrene as a complication of sepsis owing to systematic imbalance that disturbs the organ dysfunction mainly coagulation and microcirculation. Primary recognition and quick management of sepsis and weaning off the inotropes at the initial opportunity are essential to evade Symmetrical peripheral gangrene.

Keywords

Symmetric peripheral gangrene, MODS, Sepsis, Myocarditis, Inotropes

References

  1. Parmar MS. Symmetrical peripheral gangrene: A rare but dreadful complication of sepsis. Canadian Medical Association Journal. 2002;167(9):1037–1038. Available from: https://www.cmaj.ca/content/cmaj/167/9/1037.full.pdf
  2. Shimbo K, Yokota K, Miyamoto J, Okuhara Y, Ochi M. Symmetrical peripheral gangrene caused by septic shock. Case Reports in Plastic Surgery and Hand Surgery. 2015;2(3-4):53–56. Available from: https://doi.org/10.3109/23320885.2015.1041529
  3. Davis MDP, Dy KM, Nelson S. Presentation and outcome of purpura fulminans associated with peripheral gangrene in 12 patients at Mayo Clinic. Journal of the American Academy of Dermatology. 2007;57(6):944–956. Available from: https://doi.org/10.1016/j.jaad.2007.07.039
  4. Hayes MA, Yau EH, Hinds CJ, Watson JD. Symmetrical peripheral gangrene: association with noradrenaline administration. Intensive Care Medicine. 1992;18(7):433–436. Available from: https://doi.org/10.1007/bf01694349
  5. Colak T, Erdogan O, Yerebakan O, Arici C, Gurkan A. Symmetrical peripheral gangrene and dopamine. Ulus Travma Acil Cerrahi Derg. 2003;9(3):222–224. Available from: https://pubmed.ncbi.nlm.nih.gov/12923702/#:~:text=The%20SPG%20syndrome%20consists%20of,contributory%20cause%20in%20many%20cases.
  6. Ghosh S, Bandyopadhyay D, Ghosh A. Symmetrical peripheral gangrene: A prospective study of 14 consecutive cases in a tertiary-care hospital in eastern India. Journal of the European Academy of Dermatology and Venereology. 2010;24(2):214–218. Available from: https://doi.org/10.1111/j.1468-3083.2009.03329.x
  7. Tripathy S, Rath B. Symmetric peripheral gangrene Catch it early! Journal of Emergencies Trauma and Shock. 2010;3(2):189–190. Available from: https://journals.lww.com/onlinejets/fulltext/2010/03020/symmetric_peripheral_gangrene__catch_it_early_.18.aspx

Copyright

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Published By Sri Devaraj Urs Academy of Higher Education, Kolar, Karnataka

  • 24 July 2024

Year: 2024, Volume: 14, Issue: 2

Article Metrics


More articles

DON'T MISS OUT!

Subscribe now for latest articles and news.