Ischemic necrosis of all fingers and toes after norepinephrine use in gynecological patient

Authors

  • Yvan Denis Pacheco Pacori Residente de 5to año de Cirugía Plástica, Hospital Dr. Negrin, Las Palmas de Gran Canaria, España
  • Orlando García Duque Presidente de la Sociedad Canaria de Cirugía Plástica, España

DOI:

https://doi.org/10.15381/anales.v79i2.14942

Keywords:

Necrosis, Norepinephrine

Abstract

We present a female patient of 39 years old, who in october 2016 was treated at our institution (Dr. Negrin Hospital, Canary Islands-Spain), with necrosis of all fingers and toes, referred to the Plastic Surgery Service from the Intensive Care Medicine. It was a patient diagnosed with abdominal septic shock of pelvic origin due to vaginal ring infection. In the intensive care unit, the patient was treated with norepinephrine for 5 days. This catecholamine stimulates the adrenergic receptors, causing vasoconstriction and increased blood pressure. After ten days of treatment, the patient presents with ischemic necrosis of all fingers and toes, and amputation is necessary, with aesthetic and functional sequelae.

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Published

2018-07-29

Issue

Vol. 79 No. 2 (2018)

Section

Reporte de Casos

License

Copyright (c) 2018 Anales de la Facultad de Medicina

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How to Cite

1.
Pacheco Pacori YD, García Duque O. Ischemic necrosis of all fingers and toes after norepinephrine use in gynecological patient. An Fac med [Internet]. 2018 Jul. 29 [cited 2024 Jul. 17];79(2):149-52. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/14942