title: Peripheral gangrene complicating Salmonella typhi septicaemia in a Gambian infant.
abstract: A 1-year-old malnourished boy, who presented with Salmonella typhi septicaemia with a 4-day history of febrile illness, dehydration and severe anaemia, developed bilateral dry gangrene of the hands and feet. Although he improved appreciably, he suffered auto-amputation of the distal phalanges of the left foot after 3 weeks of illness. A high index of suspicion and prompt treatment is highly critical in the treatment of septicaemia in young children.
authors.affiliation: Medical Research Council, Fajara, The Gambia, West Africa. jbokoko@mrc.gm
authors.forename: B J
authors.initials: BJ
authors.lastname: Okoko
authors.forename: M O
authors.initials: MO
authors.lastname: Ota
authors.forename: J O
authors.initials: JO
authors.lastname: Arowolo
authors.forename: H C
authors.initials: HC
authors.lastname: Whittle
mesh_terms: D005528:Foot / Q000473:pathology*; D005714:Gambia; D005734:Gangrene / Q000209:etiology*; D006225:Hand / Q000473:pathology*; D006801:Humans; D007223:Infant; D008297:Male; D012485:Salmonella typhi / Q000302:isolation & purification*; D014435:Typhoid Fever / Q000150:complications* / Q000503:physiopathology / Q000628:therapy