Extravasation of calcium gluconate concomitant with osteomyelitis in a neonate.
Acta Paediatr Taiwan
; 45(1): 35-7, 2004.
Article
em En
| MEDLINE
| ID: mdl-15264704
ABSTRACT
Extravasation of calcium gluconate is not an uncommon complication in neonatal units, which may result in skin and soft tissue inflammation, injury and even infection. We report an 11-day-old preterm infant who developed osteomyelitis at an infiltrated intravenous site through which calcium gluconate was infused. The patient was initially treated conservatively as a simple calcium-infiltrate. Clinical condition deteriorated until proper antibiotic treatment was given. We exclude other possible causes and assume that calcium-infiltrate had an important role in the pathogenesis. We conclude that osteomyelitis should be considered in a patient with calcium extravasation whose soft tissue inflammation does not improve as expected. Furthermore, using a diluted calcium solution and checking the insertion site frequently in order to identify extravasation earlier would prevent the complication.
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Bases de dados:
MEDLINE
Assunto principal:
Osteomielite
/
Gluconato de Cálcio
/
Extravasamento de Materiais Terapêuticos e Diagnósticos
Tipo de estudo:
Prognostic_studies
Limite:
Female
/
Humans
/
Newborn
Idioma:
En
Revista:
Acta Paediatr Taiwan
Assunto da revista:
PEDIATRIA
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
Taiwan