[SavageGlow]

Case 1: An 11-month-old boy presented with sepsis and required vasopressor support (dopamine/noradrenaline) to maintain blood pressure. On examination, he was noted to have peripheral gangrene in all extremities. Wound care was initiated to prevent infection. The extremities were observed and allowed to self-demarcate and auto-amputate (Fig. 1).

Case 2: A 3-year-old boy was evaluated for lower extremity pain a couple of weeks following initiation of treatment for malaria. On examination, he was found to have gangrene of the right foot and the 3rd, 4th, and 5th digits of the left foot (Fig. 2). The patient was lost to follow up [which means they stopped coming in for treatment without notice, not necessarily that they died or anything].

Case 3: A 6-year-old boy was transferred with malaria complicated by sepsis, hepatitis, and acute renal failure. On examination, he was noted to have bullae of the anteromedial aspect of the right lower leg and gangrene of the ankle and foot. In addition, he was noted to have patchy gangrene of the left foot. He ultimately underwent a right trans-metatarsal amputation and subsequent skin grafting (Fig. 3).

Case 4: A 7-year-old girl was admitted with cerebral malaria, hepatitis, and sepsis. On examination, the patient was noted to have left hand gangrene and a contracture. In addition, the patient developed patchy gangrene in the left arm following subcutaneous infiltration of an IV infusion. The patient developed wet gangrene and underwent amputation at the level of the wrist (Fig. 4).

[Mr.NoCredit]

Third world problems.

We are only one people living on one world. Sadly most of the human race choose to think on a country, state, city, town level and have more of a “FTW” attitude.

[ajs11961]

Sad all those children have hepatitis on top of those problems.

[Blueathena623]

Good lord, as a parent, I can’t even imagine what I would feel if the dr told me “yup, it’s gangrene, we’re just going to let the fingers and toes fall off.”