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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© 2007 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.
