title: Tuberculosis should not be ignored in patients with peripheral gangrene.
abstract: Peripheral gangrene, characterized by distal ischemia of the extremities, is a rare complication in patients with tuberculosis (TB). We diagnosed a female patient with gangrene of her left toe caused by TB infection. She presented with fever, lymphadenectasis, and peripheral gangrene of the left toe. Lymph node biopsy confirmed tuberculous lymphadenitis and the computer tomography angiography showed vasculitis. The patient underwent antituberculous therapy and her condition was gradually improved. Although it is rare, TB should be considered as a possible cause of peripheral gangrene.
authors.affiliation: Department of Rheumatology, The Affiliation Hospital of QingDao University Medical College, No.16 Jiang Su Lu, Shi Nan District, QingDao City, Shandong Province, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Yao
authors.forename: Bin
authors.initials: B
authors.lastname: Liu
authors.forename: Ji-bo
authors.initials: JB
authors.lastname: Wang
authors.forename: Hua
authors.initials: H
authors.lastname: Li
authors.forename: Hong Da
authors.initials: HD
authors.lastname: Liang
mesh_terms: D000328:Adult; D001964:Bromhexine; D005260:Female; D016523:Foot Ulcer / Q000473:pathology; D005734:Gangrene / Q000150:complications; D006801:Humans; D007866:Leg / Q000098:blood supply; D011859:Radiography; D014034:Toes / Q000098:blood supply / Q000473:pathology*; D014388:Tuberculosis, Lymph Node / Q000150:complications*; D014657:Vasculitis / Q000150:complications* / Q000000981:diagnostic imaging
chemical_list: D001964:Bromhexine