Médecine et chirurgie du pied


Ischemia of the foot in a 49-year-old patient: an unusual aetiology Volume 24, issue 3, Septembre 2008


The authors report a case of dry gangrene of the left foot observed in the trauma service at Treichville university hospital in December 2005. This complication arose in a patient with both HIV-1 and HIV-2, who was also being treated for tuberculosis (RHZ). No particular pathological antecedent was found. This hard ischemia was treated by amputation of 1/3 of the upper leg. The follow-up to the operation was straightforward. Fifteen months after the operation, the patient is in good general health. This observation reveals the problem of etiologic diagnosis of an ischemic gangrene in a doubly immunodeficient patient.