https://doi.org/10.4081/gc.2023.11377

Symmetrical peripheral gangrene in a patient with septic shock and a multi-drug resistant Klebsiella pneumoniae infection

Vol. 9 No. 1 (2023)
Submitted: 8 April 2023
Accepted: 26 July 2023
Published: 28 August 2023
Septic shock, septic microemboli, klebsiella pneumonia, gangrene, elderly
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Authors

Giovanni Carbone
https://orcid.org/0009-0006-7166-114X
Department of Translational Medical Sciences, University of Naples Federico II, Italy.
Immacolata Sepe
https://orcid.org/0009-0006-0021-9231
Department of Translational Medical Sciences, University of Naples Federico II, Italy.
Maria Rosaria Fiorentino
Department of Translational Medical Sciences, University of Naples Federico II, Italy.
Elisa Salsano
https://orcid.org/0009-0001-1493-3392
Geriatric and Intensive Geriatric Care Unit, San Giuseppe Moscati Hospital, Avellino, Italy.
Federico Ruggiero
https://orcid.org/0009-0002-4710-4328
Department of Translational Medical Sciences, University of Naples Federico II, Italy.
Michele Schiavone
Geriatric and Intensive Geriatric Care Unit, San Giuseppe Moscati Hospital, Avellino, Italy.
Dalila Bruno
https://orcid.org/0000-0002-3817-5004
Geriatric and Intensive Geriatric Care Unit, San Giuseppe Moscati Hospital, Avellino, Italy.
Filomena Micillo
Geriatric and Intensive Geriatric Care Unit, San Giuseppe Moscati Hospital, Avellino, Italy.
Nicola Vargas
vargasnicola32@gmail.com
Geriatric and Intensive Geriatric Care Unit, San Giuseppe Moscati Hospital, Avellino, Italy.

Symmetrical peripheral gangrene (SPG) can sometimes occur without definite disseminated intravascular coagulation. The differential diagnosis comprises the exclusion of many non-infectious diseases and the effort to isolate the microbic agent in the case of septic shock. Between bacterial causes, Klebsiella pneumoniae is one of the bacteria that can trigger SPG through hypervirulence and hypercoagulopathy mechanisms. We report a case of SPG associated with septic shock and a multi-drug resistant K. pneumoniae infection.

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How to Cite

Carbone, G., Sepe, I., Fiorentino, M. R., Salsano, E., Ruggiero, F., Schiavone, M., Bruno, D., Micillo, F., & Vargas, N. (2023). Symmetrical peripheral gangrene in a patient with septic shock and a multi-drug resistant <i>Klebsiella pneumoniae</i> infection. Geriatric Care, 9(1). https://doi.org/10.4081/gc.2023.11377
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