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Gangrene: by Dr. Nimer Khraim DVMS, BVMS, MVSC

Gangrene is the death of tissue while still attached to the living body. It can be caused by direct damage to tissue from mechanical, physical or chemical means, or from bacterial infections like Streptococcus and Staphylococcus. Gangrene is classified as dry, moist, or gas gangrene. Dry gangrene results from arterial occlusion and mummifies tissue. Moist gangrene occurs from venous occlusion and causes tissue to disintegrate and produce a foul odor. Gas gangrene is caused by anaerobic bacteria that produce gas within infected tissue. Treatment involves removing dead tissue through amputation or other means to prevent the spread of toxins.

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103 views18 pages

Gangrene: by Dr. Nimer Khraim DVMS, BVMS, MVSC

Gangrene is the death of tissue while still attached to the living body. It can be caused by direct damage to tissue from mechanical, physical or chemical means, or from bacterial infections like Streptococcus and Staphylococcus. Gangrene is classified as dry, moist, or gas gangrene. Dry gangrene results from arterial occlusion and mummifies tissue. Moist gangrene occurs from venous occlusion and causes tissue to disintegrate and produce a foul odor. Gas gangrene is caused by anaerobic bacteria that produce gas within infected tissue. Treatment involves removing dead tissue through amputation or other means to prevent the spread of toxins.

Uploaded by

luckyswiss7776848
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Gangrene

by
Dr. Nimer Khraim
DVMS,BVMS, MVSc
Gangrene
Gangrene
 It’s a death and putrefaction while
attached to living body

Necrosis
 Death of T. with absence of infection
Gangrene
 Gangrene result from direct damage
to the T. cause by mechanical,
physical or chemical agent or by
bacteria

 Like
malignant edema, black leg dis.
Strept. and staph. Infection
Gangrene
 Some time infiltration of T. with
certain liquid may lead to gangrene
formation like bile and urine
Clinically gangrene classified to
Clinically gangrene classified to
Dry gangrene

 This is mostly due to arterial occlusion

 Its like mummification of the T. which it


become dry and reduced in volume

 Putrefaction is always absent


Clinically gangrene classified to
Moist gangrene

 This mostly due to venous occlusion

 The dis. T. Become disintegrated and


liquefied

 the lesion contain volatile products of


very bad odor
Clinically gangrene classified to
 Alsomoist gangrene contain soluble
poison when it is absorbed to the
circulation it will cause a fatal
toxemia
Clinically gangrene classified to
Gas gangrene
 Its caused by many types of
anaerobic spore forming bacteria

 They produce gas from the lyses of


dead T. which appear as babble In
the infected T.

 Like malignant edema and black leg


Clinically gangrene classified to
Prognosis of gangrene

 Depend in the natural of the lesion which


may vary from a simple ulcer to the
sloughing of a large mass of a T.

 Gangrene is dangerous when the toxemia


is severe which may cause death due to
24h
Local symptoms of gangrene
Local symptoms of gangrene
Dry gangrene

 TheT. become change in appearance


and diminish in volume

 The skin become shriveled

 The hair become dry and erect


Local symptoms of gangrene
Moist gangrene

 The T. is become purple, greenish,


blackish in color and increase in volume
with engorged in blood and serum

 Pain is severe before death of the affected


part
Local symptoms of gangrene
 Theaffected part become cold and
insensitive

 There
is a zone of demarcation
between he health and affected T.
Treatment of gangrene
Treatment of gangrene
 Removal of the T.

 In case of moist gangrene we can


make scarification of T. with knife or
puncture the gangrenous T.

 to permit the escape of toxic liquid


and allowing the introduction of
antiseptic inside the lesion
Treatment of gangrene
 Application of counter-irritant at the
periphery of the affected part

 This will cause increasing of hyperemia


and phagocytosis near the affected T.

 which accelerate the separation of the


moist or dry gangrene from the health T.
Treatment of gangrene

 The
best treatment of gangrene is
amputation of the part from the body

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