Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure

Sijan Basnet; Priya Rajagopalan; Rashmi Dhital; Ataul Qureshi

doi:10.3390/medicina55070383

Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure

Medicina (Kaunas). 2019 Jul 17;55(7):383. doi: 10.3390/medicina55070383.

Authors

Sijan Basnet¹, Priya Rajagopalan², Rashmi Dhital³, Ataul Qureshi²

Affiliations

¹ Department of Medicine, Reading Hospital and Medical Center, West Reading, PA 19611, USA. sijan.basnet@towerhealth.org.
² Thomas Jefferson University Hospital, 1025 Walnut Street, Philadelphia, PA 19107, USA.
³ Department of Medicine, Reading Hospital and Medical Center, West Reading, PA 19611, USA.

Abstract

Symmetrical peripheral gangrene (SPG) is a rare entity characterized by ischemic changes of the distal extremities with maintained vascular integrity. We present the case of a 64-year-old man with bilateral necrotic toes and deranged liver function tests. This was thought to be related to severely depressed ejection fraction from non-ischemic etiology, presumably chronic alcohol ingestion. We hope that awareness of SPG and association with a low output state will aid in early detection and prevention.

Keywords: heart failure; low flow state; symmetrical peripheral gangrene.

Publication types

Case Reports

MeSH terms

Cardiac Output, Low / complications*
Cardiac Output, Low / etiology
Echocardiography / methods
Electrocardiography / methods
Emergency Service, Hospital / organization & administration
Gangrene / etiology*
Heart Failure / complications*
Heart Failure / physiopathology
Humans
Male
Middle Aged