Symmetrical peripheral gangrene of bilateral feet and unilateral hand after administration of vasopressors during septic shock
| Autor: | Sarah Breakstone, Chirag V Vasa, Wayne Axman, Naeemah Ruffin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty endocrine system medicine.medical_treatment Vessel occlusion Ischemia 030204 cardiovascular system & hematology adult intensive care Amputation Surgical Gangrene 03 medical and health sciences 0302 clinical medicine Rare Disease medicine Humans Vasoconstrictor Agents Bilateral feet 030212 general & internal medicine infections unwanted effects / adverse reactions Aged business.industry Septic shock Foot PERIPHERAL GANGRENE General Medicine medicine.disease Hand Shock Septic Surgery Amputation contraindications and precautions business hormones hormone substitutes and hormone antagonists Rare disease |
| Zdroj: | BMJ Case Reports |
| ISSN: | 1757-790X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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