| CASE REPORT |
|
| Year : 2020 | Volume
: 9
| Issue : 3 | Page : 257-259 |
|
|
Gangrene and sepsis in sickle cell disease
Umma Abdulsalam Ibrahim1, Ibrahim Aliyu1, Nuraddeen Lawal2, Aisha Musa Bala2
1 Department of Paediatrics, Aminu Kano Teaching Hospital, Bayero University Kano, Kano, Nigeria
2 Department of Paediatrics, Aminu Kano Teaching Hospital, Kano, Nigeria
Correspondence Address:
Umma Abdulsalam Ibrahim
Department of Paediatrics, Aminu Kano Teaching Hospital, Bayero University Kano, Kano
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/sjhs.sjhs_75_20
|
|
|
Infection is common in sickle cell disease (SCD), and consequences of infection such as abscess formation and osteomyelitis are commonly reported events. However, gangrene is an uncommon complication of SCD. A 3-year-old boy with sickle cell anemia presented with fever, bone pains, and gangrene of the digits. Peripheral pulses were palpable. His full blood count showed a progressive increase of the white blood cell count, but the clotting profile was normal, and blood culture yielded Proteus vulgaris. Arterial Doppler scan showed reduced flow in the right ulnar and both dorsalis pedis arteries. X-ray of the upper and lower limbs showed chronic osteomyelitis. Pus aspirate from incision and drainage of anterior tibia abscesses showed Gram-negative cocci in clusters, but the culture was negative. He received blood transfusion, fresh frozen plasma, heparin, and antibiotics. Early recognition and prompt treatment of infection will minimize the development of these devastating complications of SCD.
|
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
