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Journal of Tropical Pediatrics 2001 47(4):250-251; doi:10.1093/tropej/47.4.250
© 2001 by Oxford University Press
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Case Report

Peripheral Gangrene Complicating Salmonella typhi Septicaemia in a Gambian Infant

Brown J. Okoko1, Martin O. C. Ota1, Jolomi O. Arowolo2 and Hilton C. Whittle1

1 Medical Research Council, Fajara, The Gambia, West Africa 2 Department of Paediatrics, Royal Victoria Hospital Banjul, The Gambia, West Africa

A 1-year-old malnourished boy, who presented with Salmonella typhi septicaemia with a 4-day history of febrile illness, dehydration and severe anaemia, developed bilateral dry gangrene of the hands and feet. Although he improved appreciably, he suffered auto-amputation of the distal phalanges of the left foot after 3 weeks of illness. A high index of suspicion and prompt treatment is highly critical in the treatment of septicaemia in young children.


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