J Korean Foot Ankle Soc.  2019 Dec;23(4):196-200. 10.14193/jkfas.2019.23.4.196.

Symmetrical Digital Gangrene Resulting from Vasopressor Usage for the Treatment of Septic Shock: Case Reports

Affiliations
  • 1Department of Orthopedic Surgery, Konyang University Hospital, Daejeon, Korea. hurym1973@hanmail.net

Abstract

Symmetrical Digital Gangrene (SDG) is characterized by the sudden onset of peripheral, symmetrical gangrene in the absence of any major vascular occlusive disease. Catecholamine inotropes are frequently used for the treatment of septic shock combined with an unstable hemodynamic state, and their usage can rarely induce SDG. There is no standard treatment for the SDG. Early recognition and prompt management of sepsis and expeditious process of weaning off of the inotropes are necessary to prevent progression of SDG. To the best of our knowledge, this is the first report in Korea regarding the treatment of SDG induced by catecholamine inotropes.

Keyword

Gangrene; Norepinephrine; Amputation
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