Symmetrical peripheral gangrene: a rare complication of sepsis

Abstract

Sepsis continues to be an important cause of mortality, it is associated with hemodynamic and coagulation complications; Symmetric peripheral gangrene is an infrequent complication in the context of patients with sepsis, whose etiopathogenesis is still poorly understood. We present the case of an adult patient with septic shock and during his evolution he developed symmetrical peripheral gangrene, performing amputation months after the acute disease. This rare complication is associated with alterations such as disseminated intravascular coagulation, and can have an early presentation in critically ill patients, being a poor prognostic factor. Early amputation of the involved limbs is not recommended. The timely recognition and management of sepsis remain essential in reducing mortality and the development of complications.