Suspected symmetrical peripheral gangrene in a cat

An 8-year-old female spayed domestic shorthair cat was presented for evaluation of non-specific lethargy and pain. It was diagnosed with septic shock secondary to wounds on the dorsum and required treatment with multiple vasopressors for circulatory support. During the course of hospitalization, it...

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Bibliographic Details
Published in:JFMS open reports 2019, Vol.5 (1), p.2055116919855539
Main Authors: Casey, Kelsey, Dickinson, Amy
Format: Article
Language:English
Subjects:
Case Report
Gangrene
hydrocortisone
norepinephrine
Sepsis
septic shock
Steroids
vasopressin
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Summary:An 8-year-old female spayed domestic shorthair cat was presented for evaluation of non-specific lethargy and pain. It was diagnosed with septic shock secondary to wounds on the dorsum and required treatment with multiple vasopressors for circulatory support. During the course of hospitalization, it was weaned from vasopressors but subsequently developed symmetric skin necrosis and sloughing of the paws on the right thoracic and right pelvic limbs leading to a presumptive diagnosis of suspected symmetrical peripheral gangrene (SPG). This report documents the first case of suspected SPG in a cat that received multiple vasopressors for treatment of septic shock. Early recognition, cessation of vasopressor therapy and surgical management are necessary for treatment of this condition.
ISSN:2055-1169
2055-1169
DOI:10.1177/2055116919855539