Gangrene
Unusual case of gangrene! Twenty one year old patient from Sudan, presented to rheumatology and rehabilitation department, Cairo University in Egypt with bilateral feet gangrene. Her condition started 3 months before with fever, vomiting and diarrhea. She was admitted to hospital in Sudan. Investigations were done and the patient was diagnosed with a case of malignant malaria. She had severe anemia and received blood transfusion in addition to other medications, after which she started to develop generalized edema and feet swelling, followed by bluish discoloration and progression to gangrene. Treatment included I.V. quinine for 2 days, preceded by one pulse of 500mg, I.V. methylprednisolone, followed by oral quinine, 2 tablets for 5 days, together with anticoagulants. For management of gangrene, forefoot amputation was the only option.
Source: https://www.instagram.com/p/BmrGHMUAGmG/
I dont understand something.... Did the gangrene take place due to medication or was it the longstanding disease itself??????
It seems the medication regime she was on for the malaria, which cause edema and foot swelling, lead to the gangrene.
So what were the plans for her mobility? Wheelchair or prosthetics?
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