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Symmetrical peripheral gangrene of bilateral feet and unilateral hand after administration of vasopressors during septic shock
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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836706/ https://www.ncbi.nlm.nih.gov/pubmed/29437714 http://dx.doi.org/10.1136/bcr-2017-223602 |
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author | Ruffin, Naeemah Vasa, Chirag V Breakstone, Sarah Axman, Wayne |
author_facet | Ruffin, Naeemah Vasa, Chirag V Breakstone, Sarah Axman, Wayne |
author_sort | Ruffin, Naeemah |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5836706 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-58367062018-03-07 Symmetrical peripheral gangrene of bilateral feet and unilateral hand after administration of vasopressors during septic shock Ruffin, Naeemah Vasa, Chirag V Breakstone, Sarah Axman, Wayne BMJ Case Rep Rare Disease 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. BMJ Publishing Group 2018-02-07 /pmc/articles/PMC5836706/ /pubmed/29437714 http://dx.doi.org/10.1136/bcr-2017-223602 Text en © 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. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Rare Disease Ruffin, Naeemah Vasa, Chirag V Breakstone, Sarah Axman, Wayne Symmetrical peripheral gangrene of bilateral feet and unilateral hand after administration of vasopressors during septic shock |
title | Symmetrical peripheral gangrene of bilateral feet and unilateral hand after administration of vasopressors during septic shock |
title_full | Symmetrical peripheral gangrene of bilateral feet and unilateral hand after administration of vasopressors during septic shock |
title_fullStr | Symmetrical peripheral gangrene of bilateral feet and unilateral hand after administration of vasopressors during septic shock |
title_full_unstemmed | Symmetrical peripheral gangrene of bilateral feet and unilateral hand after administration of vasopressors during septic shock |
title_short | Symmetrical peripheral gangrene of bilateral feet and unilateral hand after administration of vasopressors during septic shock |
title_sort | symmetrical peripheral gangrene of bilateral feet and unilateral hand after administration of vasopressors during septic shock |
topic | Rare Disease |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836706/ https://www.ncbi.nlm.nih.gov/pubmed/29437714 http://dx.doi.org/10.1136/bcr-2017-223602 |
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