Digital Gangrene in Disseminated Tuberculosis: A Rare Presentation

Bansal, Naman; Tyagi, VK

doi:10.9790/0853-1605095153

Cited by 1 publication

(1 citation statement)

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“…A case of diffuse ischemic limb gangrene with palpable pulses in a patient with septic shock was reported by Gill et al [12]. Similar to our case, Bansal and Tyagi presented a case of digital gangrene in disseminated TB in a 35-year-old male [13]. Another case of symmetrical peripheral gangrene was presented by Patial et al in a 46-year-old man, who initially presented with signs and symptoms suggestive of TB but later developed symmetrical peripheral gangrene along with septic shock [14].…”

Section: Discussionsupporting

confidence: 87%

Digital gangrene in spinal tuberculosis

Hussain

Sharma

Synmon

et al. 2020

IJCR

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Though tuberculosis (TB) is commonly seen, peripheral gangrene as a manifestation of TB is not common. Spinal TB presents with backache, paraparesis, or quadriparesis with or without bladder and bowel involvement. It may cause spinal deformities. However, peripheral gangrene is not a common manifestation of spinal TB. Here, we present the case of spinal TB, with peripheral gangrene in a 30-year-old female. There was blackening and shrinkage of the left third toe, with superficial tenderness, darkening, and loss of sensation over the left fourth and fifth toes. Tuberculin test and Mantoux test were positive. The magnetic resonance imaging findings were suggestive of Pott's spine. Arterial Doppler of the affected lower limb revealed sluggish flow, as suggested by the biphasic waveform. The patient was started on antituberculous treatment. Although the neurological symptoms improved with antituberculous treatment, the peripheral gangrene resolved only partially and required amputation.

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Section: Discussionsupporting

confidence: 87%