Citation Information :
Chaurasia AK, Gupta P, Purwar N. An Unusual Case of Extensive Dry Gangrene with Mummification of Face, Lower Limbs, and Autoamputation of Nose in Sepsis: A Case Report. J Postgrad Med Edu Res 2024; 58 (2):76-79.
Aim and background: The case is exceptional in view of its rarity, lack of medical literature, unfamiliar clinical presentation, and devastating disease course.
Case description: An 80-year-old male with extensive dry gangrene resulting from disseminated intravascular coagulation (DIC) in urosepsis due to Escherichia coli. The disease course was devastating, and the patient pleaded for euthanasia due to his debilitating illness, which was denied.
Diagnosis: Symmetrical peripheral gangrene (SPG) in sepsis with involvement of face and lower limbs and sparing of upper limbs.
Interventions: Strict medical management in the intensive care unit, and thrombolysis was attempted.
Outcomes: The patient succumbed to the disease within 2 months of the onset of illness.
Clinical significance: Gangrene in sepsis-associated DIC can also involve the face, and the definition of SPG may need an expansion to accommodate that. It is a rapidly progressive condition with a high mortality rate, and a formal consensus needs to be established for appropriate diagnosis and management.
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