Severe upper limb complications from parenteral abuse of Subutex.
Ann Acad Med Singap
; 34(9): 575-8, 2005 Oct.
Article
em En
| MEDLINE
| ID: mdl-16284682
ABSTRACT
INTRODUCTION:
Subutex is a sublingual formulation of buprenorphine that is used to treat opioid dependency. It may be abused parenterally with disastrous consequences. CLINICAL PRESENTATION We present 4 cases of parenteral abuse of Subutex resulting in severe upper limb complications. TREATMENT Two vascular complications were treated with combinations of anticoagulants, vasodilators, brachial plexus bock and iloprostol. One severe hand abscess required surgical debridement, and 1 median nerve injury required neurolysis.OUTCOME:
All patients had a poor outcome. Both patients with vascular complications required multiple amputations, the patient with a thenar abscess had severely impaired thumb function, and the patient with median nerve injury has ongoing neuralgic pain, numbness and thenar weakness.CONCLUSION:
The incidence of complications of parenteral abuse of Subutex is increasing in Singapore. These complications have a poor outcome despite adequate management, and are best prevented by education or legal means.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Braço
/
Buprenorfina
/
Abuso de Substâncias por Via Intravenosa
/
Infecções dos Tecidos Moles
/
Entorpecentes
Limite:
Adult
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Ann Acad Med Singap
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Singapura