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Dry and Wet Gangrene

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Version Jan 2023

Dry Gangrene Ischaemic muscle necrosis but no obvious infection. The tissue involved often toes is well-defined and demarcated. Usually mild pain or painless, shrivelled brown/black area. The usual plan is for debridement or amputation. Often conservative management which allows autoamputation.

Wet Gangrene This is regarded as an emergency. This is the classical acutely ischaemic limb that is infected with Clostridium infection-causing necrosis and sepsis. There is pyrexia, pain and pus. Often the patient is diabetic and has comorbidities. Involve the surgeons. They may consider debridement. In meantime give high flow O2, fluids and broad-spectrum antibiotics such as BenzylPenicillin or Clindamycin and Metronidazole. Palliation may be suitable for some.

Dry Gangrene	Ischaemic muscle necrosis but no obvious infection. The tissue involved often toes is well-defined and demarcated. Usually mild pain or painless, shrivelled brown/black area. The usual plan is for debridement or amputation. Often conservative management which allows autoamputation.
Wet Gangrene	This is regarded as an emergency. This is the classical acutely ischaemic limb that is infected with Clostridium infection-causing necrosis and sepsis. There is pyrexia, pain and pus. Often the patient is diabetic and has comorbidities. Involve the surgeons. They may consider debridement. In meantime give high flow O2, fluids and broad-spectrum antibiotics such as BenzylPenicillin or Clindamycin and Metronidazole. Palliation may be suitable for some.

PLEASE NOTE LEGAL ADVICE: The contents are under continuing development and improvements and may contain errors of omission or fact. The official launch will be at the end of 2018. Feedback vital and always welcome at drokane at gmail.com. This is not to be used for the assessment, diagnosis or management of patients. It should not be regarded as medical advice. It is only for educational purposes. Please adhere to your local protocols. If you are unwell please seek healthcare advice from your doctor. This does not replace senior or specialist advice. If you do not accept this then please do not use the website. If you need medical advice, please consult a doctor or other appropriate medical professional. If you are a medical professional and you need advice then speak to your senior or colleagues.

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