Giovanni Carbone, Immacolata Sepe, Maria Rosaria Fiorentino, Elisa Salsano, Federico Ruggiero, M. Schiavone, Dalila Bruno, F. Micillo, Nicola Vargas
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Symmetrical peripheral gangrene in a patient with septic shock and a multi-drug resistant Klebsiella pneumoniae infection
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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