Nitroglycerin patch use in digital ischemia secondary to sepsis: a case report.

Author: JadhavDevendrasing Vijaysing, KotinatotSuresh, MazmiMunira Al, MendoncaDerek, ShankarShiva

Overview

This case report presents a preterm infant with acute digital ischemia and impending gangrene as a manifestation of sepsis. The infant successfully received treatment with a topical nitroglycerin patch, avoiding the need for surgery or other interventions.

Paper Details　

Original Abstract of the Article :

Sepsis results in intense disturbances in homoeostasis and is responsible for considerable morbidity and mortality in early infancy. Owing to insufficiency on part of infant to develop adequate inflammatory response to localize the infection, they usually progress to disseminated systemic infection,...See full text at original site

Dr.Camel's Paper Summary Blog

A Tiny Patient, A Big Challenge: Treating Digital Ischemia in Sepsis

Sepsis, a life-threatening infection, can wreak havoc on the body, especially in infants. This case report presents a unique challenge: digital ischemia, a condition where blood flow to the fingers is restricted, occurring in a premature infant with sepsis. This is like a tiny camel struggling to survive in a desert with limited water and resources, a situation that demands swift action and creativity.

The medical team, like skilled desert guides, faced the task of restoring blood flow to the infant's finger. They opted for topical nitroglycerin patches, a treatment that helped alleviate the ischemia and prevent gangrene. This is akin to finding a hidden spring in the desert, providing a lifeline of moisture and hope.

A Ray of Hope: Innovative Treatment for A Challenging Condition

The case report showcases the importance of thinking outside the box and adapting treatments to individual needs. It also highlights the crucial role of meticulous monitoring in managing such complex conditions. This is like a desert traveler constantly checking for signs of water and shelter, always vigilant and prepared for the challenges of the journey.

Dr. Camel's Conclusion

This case report serves as a valuable reminder that pediatric sepsis can manifest in unexpected ways. It also demonstrates the importance of early intervention and creative solutions to manage these complex conditions. While more research is needed to fully understand the treatment of digital ischemia in sepsis, this case report offers a beacon of hope for future treatment strategies.