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http://dx.doi.org/10.14193/jkfas.2019.23.4.196

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

Song, Jae Hwang (Department of Orthopedic Surgery, Konyang University Hospital)
Heo, Youn Moo (Department of Orthopedic Surgery, Konyang University Hospital)
Oh, Byung Hak (Department of Orthopedic Surgery, Konyang University Hospital)
Cha, Hyun Jae (Department of Orthopedic Surgery, Konyang University Hospital)
Publication Information
Journal of Korean Foot and Ankle Society / v.23, no.4, 2019 , pp. 196-200 More about this Journal
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.
Keywords
Gangrene; Norepinephrine; Amputation;
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