EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , 

 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

A CASE REPORT ON GANGRENE OF RIGHT FOURTH TOE

P. Naga Jyothi*, G. Sree Mahalakshmi and Dr. A. Sandeep

ABSTRACT

Gangrene is defined as focal or extensive necrosis of the skin and underlying tissue. However, this definition presents difficulties. There are several etiologies for gangrene, as there are for foot ulcers. One is LEAD (Lower Extremities Arterial Disease) of the large or small vessels, but infection and neuropathy may also play a role. Gangrene is better correlated with LEAD than is foot ulcer. The demonstration of clinical or subclinical LEAD is essential if gangrene is to be considered a manifestation of the progression of LEAD in the individual patient. The prevalence of gangrene is greater in selected diabetic patient populations than in the general community. However, prevalence is not a satisfactory indicator of the importance of gangrene in diabetes, compared with incidence, because of the poor survival experience of these patients and their consequent loss from the prevalent population. Risk factors for gangrene have not been adequately quantified for diabetic patients. They include LEAD, peripheral neuropathy, infection, trauma, and delayed healing. The grafting was done to reduce the spread of infection. Antibiotics like Amoxicillin + clavulanic acid and metronidazole along with some analgesics (Aceclofenac, tramadol) and anti-platelets like cilastazole for 2 weeks reduced the infection spread and may not lead to the further complications.

Keywords: LEAD, gangrene, grafting, Antibiotics, Analgesics.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database