Dry Gangrene of Extremities - Contents | Cases | Comments | Bibliography

Dry Gangrene of Extremities

Cases

Case 1

2 year-old boy, who has a sudden dry massive gangrene of both hands and feet. He was with his family in a desert trip when he was noticed to have dark discoloration in both hands followed by a low grade fever. In 2 days all 4 extremities are gangrenous. He has a dry gangrene from both wrist distally, nothing proximal to this. In the lower limbs, he has a large patch of gangrene on the left thigh anterolaterally. the distal 2/3rd of the lrg and distally is dry gangrene. No pulses distal to popliteal are felt or detected. both radial pulses are also not detected.
        The patient has no neurological defecits or convulsions. and his temp remains at a low grade to no fever. The gangrene remains the same and demarkation stops at the same levels.
        Blood cultures and viral cultures did not show any growth. His renal, hepatic and cardiac profiles are normal.
        These finding are thought to be due to a memengotoxemia but the distribution and clinical picture is not compatible. A snake or poisonous bite was also in working diagnosis. but we have no experience in a semilar picture.
        It would be great if someone has any suggestion or have seen a similar case before.

Best regards. Ahmad Bo-Eisa : boeisa@hotmail.com

Comments on this case