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Doctor insights on: Non Treated Gangrene Patient Septic How Long Can He Survive

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How long does it take for gangrene to go from dry to wet to septic shock to death?

How long does it take for gangrene to go from dry to wet to septic shock to death?

There is no set time: ...& can vary from hours to never. Gangrenous tissue should be surgically removed as soon as it is medically safe to do so (i.e., when anesthesia, if needed, can be tolerated) and something can be done to protect the raw tissue that's left behind- unless infection has already started in which case it's even more urgent and no longer as important to worry about covering the raw tissue right away. ...Read more

Dr. Mark Dickson
395 Doctors shared insights

Gangrene (Definition)

A medical term describing the death of body tissue ...Read more


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Chances of survival of patient with severely septic and septic shock?

Chances of survival of patient with severely septic and septic shock?

Not good: Cannot give you a number, but the prognosis is bleak. Depends on the age of the patient, cause for sepsis (what started the infection), co-morbidity (other diseases the patient might have-in this case pf sepsis, diabetes would be bad to have). ...Read more

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Is it a good idea to perform an elective ercp on a patient that is septic and not being treated?

ERCP: If the patient has sepsis from biliary origin, ERCP should be performed asap, as well as prompt treatment with antibiotherapy. Please select your ERCP doctor carefully. You need someone with skills. ...Read more

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Can someone explain to me how come patients with septic shock be treated with insulin and corticosteroids?

Can someone explain to me how come patients with septic shock be treated with insulin and corticosteroids?

To improve survival: Steroids may be used in septic shock that persists despite max support. The adrenal may suffer during shock and glucose metabolism is off, necessitating Insulin especially when giving steroids. The steroids are in low to intermediate dose. High dose steroids in septic shock are associated with higer mortality. ...Read more

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Why do Diabetic patients develop gangrene in foot?

Why do Diabetic patients develop gangrene in foot?

Ischemia: Blockage of small arteries cutting off blood supply by the diabetic process (intracapillary inflammation) ...Read more

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How do you distinguish between a patient on septic shock vs having an overdose?

Sepsis: There are a number of ways these two conditions might be differentiated, but the simplest answer is that typically in septic shock a bacterial or infectious agent could be isolated from the blood whereas in drug overdose a toxicology screen might reveal the cause. ...Read more

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What is the mortality rate of fourniers gangrene? I have patient who has that disease and its sad to see him deproving each day.

What is the mortality rate of fourniers gangrene? I have patient who has that disease and its sad to see him deproving each day.

Age, kidneys, blood, ..: In the following study the primary factors effecting mortality are age, renal function and presence of a coagulopathy as the three most important factors influencing mortality. Read the link for more info:

http://www. Ncbi. Nlm. Nih. Gov/pubmed/19837424. ...Read more

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Due to septic shock the patient is not recovering there is high amount os swelling?

Due to septic shock the patient is not recovering there is high amount os swelling?

Hypermetabolic: When patients are septic they develop increased metabolic rates and are unable to produce protein in normal amounts. This leads to swelling. Over time this will resolve. ...Read more

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If the patient who is suffering from septic shock gets worse after an attempt of dialysis, what are other options available to be considered?

If the patient who is suffering from septic shock gets worse after an attempt of dialysis, what are other options available to be considered?

Consult intensivist: This issue is too complicated to be addressed in this forum. You would do well to consult with a specialist in intensive care. ...Read more

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Can a septic shock patient develop osteomyelitis?

Yes: But it can go both ways, bacteremia can seed the bone or acute osteomyelitis can cause bacteremia. ...Read more

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Have you ever seen severe myelodysplastic changes in peripheral blood smears of septic cancer patients?

Have you ever seen severe myelodysplastic changes in peripheral blood smears of septic cancer patients?

Nothing special: Sepsis can affect the blood temporarily. All you have to do is repeat the CBC and you should see those changes disappear in a matter of few days. If the changes persist, then you have to get suspicious for a possible diagnosis of MDS. But MDS will result in low blood counts. So send us your CBC results and we can interpret it for you and guide you further. ...Read more

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How often do patients go into septic shock. From spinal surgery? And do you tell the patients family when this happens?

Unusual: It is unusual for a patient to have septic shock from spinal surgery, although it is one of the known complications. This is more likely to occur if there was concurrent multi-trauma or other metabolic issues such as diabetes mellitus. Family should be informed about problems and complications. ...Read more

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Is there a cure for dry gangrene for an elderly, very sick hospital patient?

Is there a cure for dry gangrene for an elderly, very sick hospital patient?

No good tx.: When the patient is not a candidate for any revascularization (bypass, stents, endarterectomy' etc.) the only treatment left is amputation of the affected area. Hyperbaric oxygen may delay the process. Leeches may improve the microscopic circulation up to a point ...Read more

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Is it possible to treat dry gangrene without surgery of foot to kidney patient?

Is it possible to treat dry gangrene without surgery of foot to kidney patient?

Possibly: But probably not. You need vascular studies to see where
the blockage of blood flow is, and take it from there. One must be vigilant for ascending infections when gangrene is present. ...Read more

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What can I give my dad for the circulation problem and two toes that have gangrene. He's in a lot of pain. But he's a dialysis patient.

What can I give my dad for the circulation problem and two toes that have gangrene. He's in a lot of pain. But he's a dialysis patient.

Talk to doctor: He can have pain medication prescribed by his doctor. Also, he should have the feet looked at by a podiatrist. Having the painful toes amputated may provide him relief, and may be necessary if he has or develops wet gangrene. ...Read more

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Mrs. Rose is a hospice patient in the nursing home. She has gangrene of her foot. What can she do to cure it?

Mrs. Rose is a hospice patient in the nursing home. She has gangrene of her foot. What can she do to cure it?

It depends: Depending on her current health status, whether the gangrene is wet/dry, if there is neuropathy (which may spare the patient pain), and prognosis are to all be considered. Hospice care is palliative in nature, so if intervention for the gangrene is to be considered, a change in her hospice status is necessary. ...Read more

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How long do people commonly survive at the stage of retinopathy & gangrene?

Not sure: If you are talking about complications from diabetes, those two conditions mean that diabetes has corroded the small blood vessels in the body. Try to have the blood sugar under good control. These conditions do not mean death is imminent. ...Read more

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My uncle had bad frostbite on his leg. Because it took so long to be treated, they say it might turn into gangrene. How long would it take to turn?

My uncle had bad frostbite on his leg. Because it took so long to be treated, they say it might turn into gangrene. How long would it take to turn?

Fairly fast: Look for hard spots or dark areas. Usually at the very ends of the extremities like at the tip of the toes. ...Read more

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Dads gallbladder was gangrene when removed. How long would it have taken to turn gangrene?

Dads gallbladder was gangrene when removed. How long would it have taken to turn gangrene?

Can't answer...: ...without seeing his operative or pathology report. There is no way to predict second-hand when his gallbladder turned gangrenous, or how close it was to perforating, based on the absence you've provided of any clinical information. Sorry, but this is a good question to re-direct to his surgeon (who was actually there). ...Read more

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Could you survive septic shock?

Could you survive septic shock?

Yes: Many do recover from septic shock when the infection is treated adequately and its bad effect resolves. Unfortunately too many succumb to the infections and its deleterious effects on the body called septic shock. ...Read more

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Can someone survive septic shock and live?

Of course: The goal of treating septic shock is ultimately survival. The best medical centers achieve survival rates for septic shock > 90%. ...Read more

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What is the rate of survival for people who develop septic shock?

What is the rate of survival for people who develop septic shock?

60%: It is very variable, with many factors playing a role. Concomitant conditions and age are also major factors, though most studies have around a 40 percent mortality on average. ...Read more

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What to do if I survived septic shock what should I be concerned with in the short term?

Congratulations!: First of all, congratulations on surviving septic shock. That is great! In the short term, focus on your recovery, and if you need physical rehab, definitely go and get it.

But, septic shock can be very deadly. So, the fact that you are well enough to ask this question, is awesome! ...Read more

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What type of psychologic issues can occur after a child (11 yrs old) has survived going septic?

What type of psychologic issues can occur after a child (11 yrs old) has survived going septic?

ICU syndrome: Icu syndrome is similar to ptsd and can cause significant problems in susceptible people. If there concerns for your child please see a psychologist for evaluation. ...Read more

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How much time can you live with gangrene and the doctors can't do anything because he wouldn't survive the surgery?

How much time can you live with gangrene and the doctors can't do anything because he wouldn't survive the surgery?

Depends on severity: Much depends on extent, location and severity. True gangrene is a progressive infection and if not treated properly is usually fatal. Also depends on how rapidly it is moving and whether there are signs of systemic illness, such as fever, low blood pressure, delirium. ...Read more

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Do I have gangrene? How long does it last?

Do I have gangrene? How long does it last?

Probably not: You forgot to provide any specifics, but "wet" gangrene usually lasts "the rest of your life" (which will be short, particularly if not treated aggressively). "dry" gangrene is like mummification, usually of a digit (toe/finger), where it dries/blackens/shrivels. ...Read more

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How long does it take for gangrene to take affect?

How long does it take for gangrene to take affect?

Multiple factors: Gangrene is a rather generic description of a necrotizing infection. This mesns the bacteria are invading and killing normal tissue. The speed with wich this sets in depends on many factors including what organisms are causing the infection as well as many host factors such as diabetes, smoker status, vascular or herat disease etc... All of which may make the infection spread faster. ...Read more