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Meanings of follow by gangrene in English

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Usage of follow by gangrene in English
1
In one case with which I became acquainted, it was followed by gangrene, necessitating amputation.
Surgical Experiences in South Africa, 1899-1900 / Being Mainly a...
2
Zacutus saw a bee-sting which was followed by gangrene.
Anomalies and Curiosities of Medicine
3
The gangrenous variety begins with coldness and weakness of the extremities followed by gangrene and sloughing.
Scientific American Supplement, No. 392, July 7, 1883
4
Experience shows that ligation of the vein, or even the removal of a portion of it, is not necessarily followed by gangrene.
Manual of Surgery Volume First: General Surgery. Sixth Edition.