Four limb amputations due to peripheral gangrene from inotrope use - Case report and review of the literature.

Introduction: We present a rare case of 4 limb amputations due to peripheral gangrene which resulted from the use of inotropes for septic shock.

Presentation Of Case: A 72-year-old woman with no past medical history presented with fever and pain in bilateral big toes. She was diagnosed with Streptococcal pneumoniae septicaemia and was started on broad spectrum antibiotics, dopamine and noradrenaline in the medical intensive care unit.