Korean J Anesthesiol.  1990 Apr;23(2):308-311. 10.4097/kjae.1990.23.2.308.

A Case of Dry Gangrenous Extremity in Septic Shock Patient

• Lee MW
• Son SC
• Kim HJ
• Choi SJ

• KMID: 2090545
• DOI: http://doi.org/10.4097/kjae.1990.23.2.308

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.

Keyword

Infection; Ischemia; Gangrene

MeSH Terms

Amputation
Cellulitis
Extremities*
Gangrene
Hand
Humans
Ischemia
Shock, Septic*