Symmetrical peripheral gangrene: a rare but dreadful complication of sepsis.

Abstract

A 31-year-old woman presented to the hospital with a 3-week history of malaise and dyspnea. Bilateral pulmonary infiltrates were seen on a chest radiograph, and laboratory testing indicated that she had renal failure (serum creatinine 400 μmol/L), urine sediment (red cell casts), an elevated