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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...

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Detalles Bibliográficos
Autores principales: Ruffin, Naeemah, Vasa, Chirag V, Breakstone, Sarah, Axman, Wayne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
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.
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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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