A Case of Dry Gangrenous Extremity in Septic Shock Patient.
10.4097/kjae.1990.23.2.308
- Author:
Myung Woo LEE
1
;
Su Chang SON
;
Hae Ja KIM
;
Se Jin CHOI
Author Information
1. Department of Anesthesiology, College of Medicine, Chung-Nam National University, Korea.
- Publication Type:Case Report
- Keywords:
Infection;
Ischemia;
Gangrene
- MeSH:
Amputation;
Cellulitis;
Extremities*;
Gangrene;
Hand;
Humans;
Ischemia;
Shock, Septic*
- From:Korean Journal of Anesthesiology
1990;23(2):308-311
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Progressive ischemia can result in gangrenous changes of the tissues. Most commonly the digits are affected initially, but progression to the hand is not unusual. Small amounts of infection superimposed on a severe chronic ischemic state can progress very rapidly to gangrene. Clinically, dry and wet gangrene should be differentiated. Dry gangrene represents mummification of tissue, and active purulent tissue and cellulitis are absent. Wet gangrene is characterized by active infection with cellulitis and purulent tissue planes and is an indication for urgent amputation to prevent ascending infection. We experienced a case of dry gangrenous extremity due to septic shock after anethesia.
