title: Diabetic gangrene in multiple fingers and toes after a dog bite in an elderly patient with type 2 diabetes.
abstract: A 78-year-old diabetic woman experienced multiple sites of gangrene not only in fingers that were directly bitten by a dog but also in fingers and toes that had not beenbitten. Her glycemic control was fair and microvascular complications were mild. There were no clinical findings related to angitis, collagenosis or severe infection. The fingers and toes with gangrene were amputated. The pathological diagnosis was diabetic gangrene. This report presents a case of multiple sites of gangrene of the fingers and toes after a dog bite in an elderly patient with type 2 diabetes.
authors.affiliation: Diabetes Center, Tokyo Women's Medical University, Japan. johya@dmc.twmu.ac.jp
authors.forename: Junko
authors.initials: J
authors.lastname: Oya
authors.forename: Ko
authors.initials: K
authors.lastname: Hanai
authors.forename: Junnosuke
authors.initials: J
authors.lastname: Miura
authors.forename: Satoko
authors.initials: S
authors.lastname: Maruyama
authors.forename: Akiko
authors.initials: A
authors.lastname: Ishii
authors.forename: Kazu
authors.initials: K
authors.lastname: Syono
authors.forename: Takamichi
authors.initials: T
authors.lastname: Shinjo
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Iwamoto
mesh_terms: D000368:Aged; D000671:Amputation, Surgical; D000792:Angiography; D000818:Animals; D001733:Bites and Stings / Q000150:complications*; D048909:Diabetes Complications / Q000209:etiology / Q000601:surgery; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D004285:Dogs; D005260:Female; D005385:Fingers / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D005734:Gangrene / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D014034:Toes / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery