Symmetrical gangrene in both lower limbs in pneumococcal pneumonia

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Date: Mar. 2018
Publisher: Medknow Publications and Media Pvt. Ltd.
Document Type: Letter to the editor
Length: 654 words
Lexile Measure: 1480L

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Byline: Subodh. Mahto, Arjun. Balakrishna, Nehal. Aggarwal, Atul. Goel

Sir,

Symmetrical peripheral gangrene (SPG) is a well-documented but rare clinical syndrome characterized by symmetrical distal ischemic damage leading to gangrene of two or more sites in the absence of large vessel obstruction or vasculitis.[1] Herein, we present a case of SPG due to Streptococcus or pneumococcal pneumonia.

A 35-year-old male presented to our hospital with complaints of high-grade fever of 10 days along with cough and expectoration. He also noticed bluish discoloration of his toes which progressively increased up till his bilateral knees within the next 5 days. He was diagnosed as a case of upper respiratory infection and was given symptomatic treatment for 6 days at a private clinic with no relief. Hence, he has referred to our hospital. On examination, bilateral lower limbs with bluish discoloration of toes and ankles were noted along with tender pitting edema [Figure 1]. Anterior tibial artery, posterior tibial, and dorsalis pedis artery were not palpable...

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Gale Document Number: GALE|A531686165