Urgent Surgery in a Near Supercentenarian Nursing Home Resident: Possible With Favorable Outcome!

      We report our experience with an African American female from a Bronx nursing home who presented at the emergency room of our university hospital 10 days before she turned 110 years and underwent successful urgent surgery for gangrene from vascular disease in the lower extremity. The resident had fever and discoloration with discharge from the lower left leg of a week plus duration. The nursing home records indicated that the resident had earlier received oral antibiotics (ciprofloxin and metronidazole) for left lower extremity swelling and redness with poor response. The leg became blacker and her temperature exceeded 103°F.
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