Abstract
Symmetrical peripheral gangrene (SPG) is described as rapid onset of peripheral and symmetrical gangrene in the lack of large vessel occlusive disease with high mortality rate.1 Hereby reporting an event of Upper limb symmetrical gangrene caused by septic shock in MODS, Acute myocarditis and was managed by inotropes. The case shows Symmetrical peripheral gangrene as a complication of sepsis owing to systematic imbalance that disturbs the organ dysfunction mainly coagulation and microcirculation. Primary recognition and quick management of sepsis and weaning off the inotropes at the initial opportunity are essential to evade Symmetrical peripheral gangrene. Keywords Symmetric peripheral gangrene, MODS, Sepsis, Myocarditis, Inotropes
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