[
    {
        "id": "osp-1376",
        "type": "article-journal",
        "title": "Blue Toes",
        "author": [
            {
                "family": "Rao",
                "given": "Mamatha"
            },
            {
                "family": "Al Jufaili",
                "given": "Mahmood"
            },
            {
                "family": "Panduranga",
                "given": "Prashanth"
            },
            {
                "family": "Riyami",
                "given": "Abdullah Amour"
            }
        ],
        "URL": "https://omanscience.com/en/articles/blue-toes",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2012
                ]
            ]
        },
        "container-title": "Oman Medical Journal",
        "DOI": "10.5001/omj.2012.58",
        "publisher": "Oman Medical Specialty Board",
        "ISSN": "1999-768X",
        "abstract": "A 65-year-old diabetic male on insulin injections for the past 15 years, hypertensive on amlodepine, dyslipidemic on statins and a nonsmoker was presented to the Emergency department with acute infero-posterior wall ST-elevation myocardial infarction along with complete heart block with heart rate of 40 beats per minute and blood pressure of 100/70 mmHg. A prophylactic transvenous temporary pacing wire was inserted from the right femoral vein after placing a femoral sheath. While attempting femoral venous cannulation, the right femoral artery was inadvertently punctured and a sheath was temporarily introduced and removed. Following the stabilization with a pacing wire, the patient was thrombolyzed with intravenous reteplase (10 units + 10 units, 30 minutes apart), followed by unfractionated heparin infusion (5000 units bolus + 1000 units/hour infusion). The patient responded well with a return of sinus rhythm at 70 beats per minute. The pacing wire along with the sheath was removed after 48 hours. His urea and creatinine were elevated at 15.5 mmol/L (n: 3.3-7) and 251 µmol/L (n: 45-100) from the baseline value of 9.7 mmol/L and 146 µmol/L, respectively. His white cell count was 9.1 × 10^9/L (n: 3.6-11.5) with an eosinophil count of 0.4 × 10^9/L (n: 0-0.5), and normal liver function tests. On the third day of admission, the patient developed bluish discoloration of the right toes with palpable proximal and distal pedal pulses."
    }
]