Q:

Which one of the following is the best definition of gangrene?

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Which one of the following is the best definition of gangrene?


  1. Digestion of dead tissue by saprophytic bacteria.
  2. Digestion of living tissue by saprophytic bacteria.
  3. Gas production in dead tissue.
  4. Necrosis of tissue caused by bacterial toxins.
  5. Necrosis of tissue caused by ischaemia.

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The answer is A. In gangrene, tissue which is dead is digested by bacteria which are incapable of invading and multiplying in living tissue (saprophytes). Gas production (C) may be present in some forms of gangrene particularly when caused by the anaerobic Clostridia.

Necrosis of tissue is an essential prerequisite for gangrene, but it may be caused by ischaemia (E), i.e., secondary gangrene or by bacterial toxins (D), i.e., primary gangrene.

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