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Case Reports
. 2021 Feb 3:38:114.
doi: 10.11604/pamj.2021.38.114.27279. eCollection 2021.

Nitroglycerin patch use in digital ischemia secondary to sepsis: a case report

Devendrasing Vijaysing Jadhav  1 , Derek Mendonca  2 , Suresh Kotinatot  1 , Shiva Shankar  1 , Munira Al Mazmi  1
Affiliations
Case Reports

Nitroglycerin patch use in digital ischemia secondary to sepsis: a case report

Devendrasing Vijaysing Jadhav et al. Pan Afr Med J. .

Abstract

Sepsis results in intense disturbances in homoeostasis and is responsible for considerable morbidity and mortality in early infancy. Owing to insufficiency on part of infant to develop adequate inflammatory response to localize the infection, they usually progress to disseminated systemic infection, pneumonia and/or meningitis. We present the case of a 26 weeks preterm boy with acute digital ischemia in right index finger progressing to impending gangrene as a manifestation of septicemia. Use of topical nitroglycerin patch with meticulous monitoring successfully alleviated the impending peripheral gangrene without any adverse effects.

Keywords: Septicemia; case report; gangrene; ischemia; nitroglycerin patch.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
ischemia appeared on distal phalanx of right index finger; note the line of demarcation between the area with normal and abnormal perfusion
Figure 2
Figure 2
nitroglycerin patch used to treat ischemia of distal phalanx of right index finger
Figure 3
Figure 3
complete recovery of ischemic changes in distal phalanx after using; nitroglycerin patch; only superficial scab formation on fingertip is noted
See this image and copyright information in PMC

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