Digital gangrene due to dopamine infusion- a case report

Authors

  • M.M. Prabhu Department of Medicine, Manipal Teaching Hospital, Manipal College of Medical Sciences, Pokhara, Nepal
  • S.M. Prabhu Department of Dermatology and Venereology, Manipal Teaching Hospital, Manipal College of Medical Sciences, Pokhara, Nepal
  • P. Mishra Department of Pharmacology, Manipal Teaching Hospital, Manipal College of Medical Sciences, Pokhara, Nepal
  • S. Palaian Department of Pharmacology, Manipal Teaching Hospital, Manipal College of Medical Sciences, Pokhara, Nepal

DOI:

https://doi.org/10.66344/jpad.v15i2.639

Keywords:

Dopamine, gangrene, ischemia, shock

Abstract

Dopamine is a vasopressor agent for the treatment of shock and hypotension in patients who
do not respond to plasma volume expansion. Use of dopamine is associated with severe
peripheral ischemia, particularly in patients in whom the peripheral circulation is already
impaired. We describe a case of digital gangrene due to intravenous dopamine infusion in a
45-year-old man who did not have any predisposing factor. The patient developed digital
gangrene within 24 hours of starting intravenous dopamine. Dopamine is one of the
commonly used vasopressor agents in the treatment of shock and hypotension and measures
should be taken to detect the possibility of the development of gangrene based on the
predisposing factor and if gangrene occurs, immediate steps should be taken for management
of the reaction.

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Published

28.12.2016

Issue

Section

Case Reports

How to Cite

1.
Digital gangrene due to dopamine infusion- a case report. J Pak Assoc Dermatol [Internet]. 2016 Dec. 28 [cited 2026 Aug. 3];15(2):197-9. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/639