SYMMETRIC PERIPHERAL GANGRENE IN PNEUMOCOCCAL SEPSIS
Authors: Richard E. Bettigole
Journal: Annals of Internal Medicine (1961)

Case Reports1 February 1961SYMMETRIC PERIPHERAL GANGRENE IN PNEUMOCOCCAL SEPSISRICHARD E. BETTIGOLE, M.D.RICHARD E. BETTIGOLE, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-54-2-335 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe unexpected appearance of symmetric peripheral gangrene in a patient under treatment for pneumococcal pneumonia, bacteremia, and meningitis has led to a consideration of the many likely causes of this condition, and the possible means of avoiding or alleviating it.CASE REPORTA 60-year-old former cook and mental hospital inmate was first seen at the University of Oklahoma Medical Center in the Medical Clinic on February 24, 1959, with a chief complaint of pain in the chest and in the left upper quadrant since an automobile accident on December 1, 1958. He had had an exploratory laparotomy several days after...Bibliography1. SwanHenderson WGCB: Peripheral gangrene in myocardial infarction. Brit. Heart J. 13: 68, 1951. CrossrefMedlineGoogle Scholar2. CasertaMetzAnton SJRM: Symmetrical peripheral gangrene in myocardial infarction; report of a case. New Engl. J. Med. 254: 568, 1956. CrossrefMedlineGoogle Scholar3. BirdLeitheadLowe TCSKG: Symmetrical peripheral gangrene in low-output heart failure. Lancet 2: 780, 1954. CrossrefGoogle Scholar4. PerryDavie CBTB: Symmetrical peripheral gangrene in cardiac failure. Brit. Med. J. 1: 15, 1939. CrossrefMedlineGoogle Scholar5. Abrahams DG: Incipient symmetrical peripheral gangrene complicating paroxysmal tachycardia. Brit. Heart J. 10: 191, 1948. CrossrefMedlineGoogle Scholar6. Abramson JL: Ball thrombi of the heart. Ann. Clin. Med. 3: 327, 1924. Google Scholar7. Rogers L: Cholera and its treatment. 1911, Oxford Medical Publications, London, p. 125. Google Scholar8. Wendt EC: A treatise on Asiatic cholera. 1885, William Wood and Co., New York, p. 257. Google Scholar9. Chatterjee SC: Symmetrical peripheral gangrene in lobar pneumonia. Calcutta Med. J. 37: 221, 1940. Google Scholar10. Davoli E: Gangrenous purpura associated with meningococcemia. Clin. Proc. Child. Hosp. 14: 232, 1958. MedlineGoogle Scholar11. Philips VK: Acute meningococcemia with symmetrical peripheral gangrene: report of a case. Ann. Intern. Med. 48: 864, 1958. LinkGoogle Scholar12. WeilSpink MHWW: The shock syndrome associated with bacteremia due to gram-negative bacilli. Arch. Intern. Med. 101: 184, 1958. CrossrefGoogle Scholar13. Lutembacher R: Endocarditë subaiguë et endartérite pulmonaire chez les cardiaques. Arch. d. mal. du cŒur 10: 353, 1917. Google Scholar14. CockayneWilton EATN: Acute bacterial endocarditis; two unusual cases. Lancet 2: 728, 1941. CrossrefGoogle Scholar15. Storstein O: Incipient symmetrical peripheral gangrene complicating pneumonia. Brit. Heart J. 13: 411, 1951. CrossrefMedlineGoogle Scholar16. Uhr JS: Gangrene of the toes following pneumococcemia; treatment with sulfanilamide. Amer. J. Dis. Child. 56: 1317, 1938. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Oklahoma City, Oklahoma*Received for publication September 1, 1959.From the Department of Medicine, University of Oklahoma Hospitals, Oklahoma City, Oklahoma.Requests for reprints should be addressed to Richard E. Bettigole, M.D., Department of Medicine, University of Oklahoma Hospitals, 800 Northeast Thirteenth Street, Oklahoma City 4, Oklahoma. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPurpura Fulminans in Pneumococcal Sepsis: Case Report and ReviewCase 4-1988Fulminant gram-negative bacillemia (DF-2) following a dog bite in an asplenic womanGeneralized Shwartzman Reaction in Man After a Dog Bite Consumption Coagulopathy, Symmetrical Peripheral Gangrene, and Renal Cortical NecrosisBURT R. MEYERS, M.D., SHALOM Z. HIRSCHMAN, M.D., F.A.C.P., WILLIAM SLOAN, M.D.Thrombocytopenia and Symmetrical Peripheral Gangrene Associated with Staphylococcal and Streptococcal BacteremiaJAMES J. RAHAL JR., M.D., H. EDWARD MACMAHON, M.D., LOUIS WEINSTEIN, PH.D., M.D., F.A.C.P. 1 February 1961Volume 54, Issue 2Page: 335-342KeywordsBacteremiaHypotensionIschemiaLaparotomyMeningitisPatientsPneumoniaSepsisThoraxVasodilation Issue Published: 1 February 1961 PDF downloadLoading ...