Impending Gangrene of Four Extremities Secondary to Ergotism

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Abstract
TO encounter late at night a young nurse with impending gangrene of all four extremities secondary to ergotism is a frightening experience, and one that impresses the physician with the paucity of knowledge available to him on this subject. Simultaneous spasm of the arterial tree and of the superficial veins, threatened thrombosis and probable hypercoagulability of blood constituted the immediate problem, and later on in the convalescent period the sequelae of this acute vascular insufficiency included repeated infections of the left foot, osteomyelitis and, finally, a severe burning sensation in the feet in warm weather. Since a search of the . . .

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