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...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Tzu Chi Medical Journal |
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| Online Access: | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=2;spage=121;epage=124;aulast=Jiang |
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| _version_ | 1849472056378261504 |
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| author | Jiin-Ling Jiang Lin-Wei Tseng Huai-Ren Chang |
| author_facet | Jiin-Ling Jiang Lin-Wei Tseng Huai-Ren Chang |
| author_sort | Jiin-Ling Jiang |
| collection | DOAJ |
| description | 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 systematic derangement that affects a wide range of organ systems, including coagulation and microcirculation. Early recognition and prompt management of sepsis and optimization of the process of weaning off the inotropes at the earliest opportunity are necessary to avoid SPG. |
| format | Article |
| id | doaj-art-df51d59963b74155923d89cb94b2dbdb |
| institution | Kabale University |
| issn | 1016-3190 2223-8956 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Tzu Chi Medical Journal |
| spelling | doaj-art-df51d59963b74155923d89cb94b2dbdb2025-08-20T03:24:37ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562017-01-0129212112410.4103/tcmj.tcmj_25_17Symmetrical peripheral gangrene in sepsis after treatment with inotropesJiin-Ling JiangLin-Wei TsengHuai-Ren ChangSymmetrical 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 systematic derangement that affects a wide range of organ systems, including coagulation and microcirculation. Early recognition and prompt management of sepsis and optimization of the process of weaning off the inotropes at the earliest opportunity are necessary to avoid SPG.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=2;spage=121;epage=124;aulast=JiangInotropesSepsisSymmetrical peripheral gangrene |
| spellingShingle | Jiin-Ling Jiang Lin-Wei Tseng Huai-Ren Chang Symmetrical peripheral gangrene in sepsis after treatment with inotropes Tzu Chi Medical Journal Inotropes Sepsis Symmetrical peripheral gangrene |
| title | Symmetrical peripheral gangrene in sepsis after treatment with inotropes |
| title_full | Symmetrical peripheral gangrene in sepsis after treatment with inotropes |
| title_fullStr | Symmetrical peripheral gangrene in sepsis after treatment with inotropes |
| title_full_unstemmed | Symmetrical peripheral gangrene in sepsis after treatment with inotropes |
| title_short | Symmetrical peripheral gangrene in sepsis after treatment with inotropes |
| title_sort | symmetrical peripheral gangrene in sepsis after treatment with inotropes |
| topic | Inotropes Sepsis Symmetrical peripheral gangrene |
| url | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=2;spage=121;epage=124;aulast=Jiang |
| work_keys_str_mv | AT jiinlingjiang symmetricalperipheralgangreneinsepsisaftertreatmentwithinotropes AT linweitseng symmetricalperipheralgangreneinsepsisaftertreatmentwithinotropes AT huairenchang symmetricalperipheralgangreneinsepsisaftertreatmentwithinotropes |