Tubercular meningitis presenting as Gangrene in all four limbs in an elderly patients: an empathetic relationship

Gangrene is ischemic necrosis of limbs or its parts, without involvement of proximal arterial obstruction or vasculitis, often associated with disseminated intravascular coagulation and septic shock. This rare clinical syndrome are usually caused by infectious or non infectious causes, among them tuberculosis as a cause is rarely associated. We here report a case of 68 year old lady, who initially was diagnosed as tubercular meningitis and later developed peripheral gangrene in all four limbs.