Covid-19 now adds gangrene risk too

AHMEDABAD: Experts have noted that gangrene is another burden that Covid-19 is piling onto the load of complications being heaped on Patients. Experts now report that a growing number of people are developing blood clots, if they are not cured in time than, ending up losing limbs. Many patients hospitalized with coronavirus disease 2019 are treated with venovenous extracorporeal membrane oxygenation and prone positioning to optimize oxygenation. However, this combination can result in lower extremity tissue necrosis, especially without adequate offloading. We report the case of a 31-year-old man who required mechanical ventilation and venovenous extracorporeal membrane oxygenation secondary to complications from coronavirus disease 2019, and subsequently developed pedal dry gangrene. The patient was discharged and healed without requiring an amputation. Our institution has since revised the prone positioning protocol to address offloading the lower extremities and feet.