Symmetrical peripheral gangrene of bilateral feet and unilateral hand after administration of vasopressors during septic shock.
| Autor: | Ruffin N; Orthopedics, Division of Podiatry, Icahn School of Medicine at Mount Sinai, New York, USA., Vasa CV; Infectious Diseases, Mount Sinai Queens Hospital, Astoria, New York, USA., Breakstone S; Orthopedics, Division of Podiatry, Icahn School of Medicine at Mount Sinai, New York, USA., Axman W; Orthopedics, Division of Podiatry, Mount Sinai Queens Hospital, Astoria, New York, USA. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2018 Feb 07; Vol. 2018. Date of Electronic Publication: 2018 Feb 07. |
| DOI: | 10.1136/bcr-2017-223602 |
| Abstrakt: | We report a case of a 75-year-old Hispanic man treated for septic shock after undergoing surgery for impacted renal stones. He was given vasopressors and later developed symmetrical peripheral gangrene (SPG) on both his feet and left hand. SPG is a serious and rare condition presenting clinically as an acute onset of ischaemia with no vessel occlusion. Vasopressors are identified as a contributing factor in SPG development. The patient ultimately underwent transmetatarsal amputations of both feet and amputation of three digits on his left hand. Early monitoring and swift management of peripheral ischaemia are essential when using vasopressors for the treatment of septic shock. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.) |
| Databáze: | MEDLINE |
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