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Updated: September 10, 2025
While the development of the collateral circulation after the ligation or obstruction from other cause of a main arterial trunk may be sufficient to prevent gangrene of the limb, it may be insufficient for its adequate nourishment; it may be cold, bluish in colour, and there may be necrosis of the skin over bony points; this is notably the case in the lower extremity after ligation of the femoral or popliteal artery, when patches of skin may die over the prominence of the heel, the balls of the toes, the projecting base of the fifth metatarsal and the external malleolus.
Definition Types: Dry, Moist Varieties Gangrene primarily due to interference with circulation: Senile gangrene; Embolic gangrene; Gangrene following ligation of arteries; Gangrene from mechanical causes; Gangrene from heat, chemical agents, and cold; Diabetic gangrene; Gangrene associated with spasm of blood vessels; Raynaud's disease; Angio-sclerotic gangrene; Gangrene from ergot.
A cannon-ball has torn off the right arm of one of these men, and he must die of gangrene. The other has a cartridge-load of iron in his face and in his body. It is impossible to bind up these wounds." The king did not answer him. He stepped hastily to the straw-bed, and took both the wounded men by the hand. Then, turning to the surgeon, he said
The presence of those clots in the cases of hospital gangrene, while they were absent in the cases in which there was no inflammatory symptoms, sustains the conclusion that hospital gangrene is a species of inflammation, imperfect and irregular though it may be in its progress, in which the fibrous element and coagulation of the blood are increased, even in those who are suffering from such a condition of the blood, and from such diseases as are naturally accompanied with a decrease in the fibrous constituent.
Many of the prisoners believed that the scurvy was contagious, and I saw men guarding their wells and springs, fearing lest some man suffering with the scurvy might use the water and thus poison them. I observed also numerous cases of hospital gangrene, and of spreading scorbutic ulcers, which had supervened upon slight injuries.
"You won't lose it if I can help it. How's your pulse? Oh, not bad. Keep cheerful and we'll pull you through." The man smiled gallantly. "Bound to come off," said the doctor as we passed to another bed. "Gas gangrene. That's the thing that does us down."
Meantime fever and gangrene attacked the Count himself; and those in attendance upon him, fearing for his life, sent for his surgeon. Leicester refused to allow Adrian to depart, and Hohenlo very generously acquiescing in the decree, but, also requiring the surgeon's personal care, caused himself to be transported in a litter to Arnheim.
As to the council of state, the limited powers of that body, under the administration of the Cardinal, had formed one of the principal complaints against that minister. The justice and finance councils were sinks of iniquity. The most barefaced depravity reigned supreme. A gangrene had spread through the whole government. The public functionaries were notoriously and outrageously venal.
The intense heat led men to drink great quantities of water, and this superinduced malignant dropsical complaints, which, next to diarrhea, scurvy and gangrene, were the ailments most active in carrying men off. Those affected in this way swelled up frightfully from day to day.
Bullæ form on the skin, and the tissues have "a peculiar heavy but not putrid odour." The constitutional effects are extremely severe, and death may ensue within a few hours. #Acute Emphysematous# or #Gas Gangrene# was prevalent in certain areas at various periods during the European War.
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