A case report: Pre-gangrene left foot with COPD and hypertension
Abstract
Pre-gangrene is the penultimate stage of vascular insufficiency before gangrene sets in; the term is usually applied to ischemia of lower limb. A male patient admitted with complains of severe foot pain, tenderness (2-3 months), and tingling & numbness. In a past medical history, he was suffering with hypertension (HTN) and COPD. He was taking amlodipine 5 mg tablet for HTN for daily basis. The X- ray finding shows that patients were suffering COPD. The patient is known case of COPD from last 3 year. After a diagnosis he has go through a surgery for left foot pre-gangrene (below knee amputation). During surgery general anesthetic and some post and pre-operative medication is given. During hospitalization patients taking various medications like antibiotic, bronchodilator and anti-hypertensive. Specifically in this patient amoxicillin and Clavulanic acid anti-biotic combination is used to treat gangrene.
Keywords: Hypertension, pre-gangrene, COPD, Antibiotic, bronchodilator.
Downloads
References
2. Bahebeck J, sobgui E, Fonfoe L, Nonga BN, Mbanya JC, Sosso M. Limb-Threatening and life- threating diabetic extremities: Clinical patterns and outcomes in 56 patients. The journal of foot and ankle surgery. 2010; 49(1):43-6. https://doi.org/10.1053/j.jfas.2009.08.011
3. Pre-gangrene. A Dictionary of nursing. Encyclopedia.com. 4 Feb. 2023. https://www.encyclopedia.com
4. Zamboni WA, Riesman JA, Kucan JO. "Management of Fournier's gangrene and the role of hyperbaric oxygen." J. Hyperbaric Med. 1990; 5(3):177-186.
5. Basoglu M, Gul O, Yildirgan I, and Balik AA, et al. "Fouriner's gangrene: review of fifteen cases." Am Surg63 1997; 1019-1021.
6. Chang CW, wang TE, Shih SC and Chang WH, et al. "shortness of breath, fever- and pain in both legs." Lancet 2008; 372:1518. https://doi.org/10.1016/S0140-6736(08)61621-9
7. Chi CH, Chen KW, Huang JJ, and Chuang YC, et al. "Gas composition in clostridium septicum gas gangrene." J Formos med Assoc 1995; 94:757-759.
8. Scott Litin. A text book of mayo Clinic family Health Book, Fifth Edition, 5th editions. www.myoclinic.org
9. Bharti PL, Agrawal P, Prakash O. A case study on the management of dry gangrene by Kishore guggul, Sanjiv ani vati and Dashanga Lepa. Ayu. 2019 Jan; 40(1):48 https://doi.org/10.4103/ayu.AYU_244_18
10. Terzikhan N, Lahousse L, Verhamme KM, Franco OH, Ikrram MA, Stricker BH, Brusselle GG. COPD is associated with an increase risk of peripheral artery disease and mortality. ERJ open research. 2018 oct 1; 4(4) https://doi.org/10.1183/23120541.00086-2018
11. Rapini R. P., Bolognia J. L. , Jorizzo J. L.. "Dermatology: 2-Volume Set. St." Louis, Mosby (2007)
12. Muhvich KH, Anderson LH, mehm WJ. "Evaluation of antimicrobials combined with hyperbaric oxygen in a mouse model of clostridial myonecrosis". J Trauma 1994; 36:7-10. https://doi.org/10.1097/00005373-199401000-00002
13. Williams STB. "The role of hyperbaric oxygen therapy in trauma." Trauma 2010; 12:13-20. https://doi.org/10.1177/1460408609354430
14. https://www.Worldcat.org/title/andrews-disease-of-the-skin-clinical-dermetology/oclc/62736861
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
.