Symmetrical peripheral gangrene following snake bite.
SPG (Symmetrical peripheral gangrene) is defined as symmetrical distal ischemic damage at two or more sites in the absence of large vessels obstruction. It has been ascribed to a number of infectious and non infectious conditions including connective tissue, cardiovascular, neoplastic and iatrogenic causes. We report a unique case of SPG in a 35-year-old Indian female who developed spontaneous gangrene of the distal phalanges of the right and left index, middle, ring and little fingers and the distal phalanges of all toes of the right and left foot following a snake bite. There have been very few cases of peripheral gangrene and acute renal failure associated with snake bite in literature.
Associate Professor, Department of Medicine, Medical College Baroda, Gujarat, India .
Minal
M
Shastri
Senior Resident, Department of Medicine, Medical College Baroda, Gujarat, India .
Mital
M
Parikh
Senior Resident, Department of Medicine, Medical College Baroda, Gujarat, India .
Dwijal
D
Patel
Senior Resident, Department of Medicine, Medical College Baroda, Gujarat, India .
Ketan
K
Chudasma
Resident, Department of Internal Medicine, Cleveland Clinic , Cleveland, Ohio, USA .
Rushad
R
Patell
Disseminated intravascular coagulation; Snake bite; Symmetrical peripheral gangrene