Symmetrical peripheral gangrene: Unusual complication of dengue fever

Symmetrical peripheral gangrene (SPG) is a rare clinical entity, infective, and noninfective both types of etiologies are responsible. The basic underlying pathology in SPG is being disseminated intravascular coagulation and carries a high mortality. Here, we describe a 52-year-old male with dengue...

Full description

Bibliographic Details
Main Authors: M L Patel, Rekha Sachan, Amita Verma, Radhey Shyam
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Advanced Biomedical Research
Subjects:
Online Access:http://www.advbiores.net/article.asp?issn=2277-9175;year=2016;volume=5;issue=1;spage=154;epage=154;aulast=Patel
_version_ 1811331117420118016
author M L Patel
Rekha Sachan
Amita Verma
Radhey Shyam
author_facet M L Patel
Rekha Sachan
Amita Verma
Radhey Shyam
author_sort M L Patel
collection DOAJ
description Symmetrical peripheral gangrene (SPG) is a rare clinical entity, infective, and noninfective both types of etiologies are responsible. The basic underlying pathology in SPG is being disseminated intravascular coagulation and carries a high mortality. Here, we describe a 52-year-old male with dengue fever, who developed bilateral symmetrical dry gangrene of both hand and feet. His dengue IgM antibody was positive. All the peripheral pulses of the affected limbs were palpable. Color Doppler study of upper and lower limb vessels showed normal flow. The patient was managed with intravenous fluids, low molecular weight heparin, and fresh frozen plasma. His general condition was improved within 72 h with no further progression of gangrene. Clinician should suspect the possibility of SPG while dealing a case of dengue fever presenting as peripheral gangrene.
first_indexed 2024-04-13T16:14:18Z
format Article
id doaj.art-cafa4c455142439fa7d6121ed5b461f7
institution Directory Open Access Journal
issn 2277-9175
language English
last_indexed 2024-04-13T16:14:18Z
publishDate 2016-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Advanced Biomedical Research
spelling doaj.art-cafa4c455142439fa7d6121ed5b461f72022-12-22T02:40:07ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752016-01-015115415410.4103/2277-9175.188940Symmetrical peripheral gangrene: Unusual complication of dengue feverM L PatelRekha SachanAmita VermaRadhey ShyamSymmetrical peripheral gangrene (SPG) is a rare clinical entity, infective, and noninfective both types of etiologies are responsible. The basic underlying pathology in SPG is being disseminated intravascular coagulation and carries a high mortality. Here, we describe a 52-year-old male with dengue fever, who developed bilateral symmetrical dry gangrene of both hand and feet. His dengue IgM antibody was positive. All the peripheral pulses of the affected limbs were palpable. Color Doppler study of upper and lower limb vessels showed normal flow. The patient was managed with intravenous fluids, low molecular weight heparin, and fresh frozen plasma. His general condition was improved within 72 h with no further progression of gangrene. Clinician should suspect the possibility of SPG while dealing a case of dengue fever presenting as peripheral gangrene.http://www.advbiores.net/article.asp?issn=2277-9175;year=2016;volume=5;issue=1;spage=154;epage=154;aulast=PatelDisseminated intravascular coagulationsymmetrical peripheral gangrenedengue fever
spellingShingle M L Patel
Rekha Sachan
Amita Verma
Radhey Shyam
Symmetrical peripheral gangrene: Unusual complication of dengue fever
Advanced Biomedical Research
Disseminated intravascular coagulation
symmetrical peripheral gangrene
dengue fever
title Symmetrical peripheral gangrene: Unusual complication of dengue fever
title_full Symmetrical peripheral gangrene: Unusual complication of dengue fever
title_fullStr Symmetrical peripheral gangrene: Unusual complication of dengue fever
title_full_unstemmed Symmetrical peripheral gangrene: Unusual complication of dengue fever
title_short Symmetrical peripheral gangrene: Unusual complication of dengue fever
title_sort symmetrical peripheral gangrene unusual complication of dengue fever
topic Disseminated intravascular coagulation
symmetrical peripheral gangrene
dengue fever
url http://www.advbiores.net/article.asp?issn=2277-9175;year=2016;volume=5;issue=1;spage=154;epage=154;aulast=Patel
work_keys_str_mv AT mlpatel symmetricalperipheralgangreneunusualcomplicationofdenguefever
AT rekhasachan symmetricalperipheralgangreneunusualcomplicationofdenguefever
AT amitaverma symmetricalperipheralgangreneunusualcomplicationofdenguefever
AT radheyshyam symmetricalperipheralgangreneunusualcomplicationofdenguefever