RESUMEN
INTRODUCTION: Infections following closed fractures in immunocompetent adults are rare but can have significant consequences if not promptly diagnosed. CASE PRESENTATION: We present two cases of immunocompetent adults admitted to a hospital in Tanzania with closed pelvic fractures who were found to have infections intraoperatively. Both patients responded well to treatment with one delaying to clear the infection. CLINICAL DISCUSSION: Because it rarely happens infected closed fractures are difficult to diagnose prior to surgery and treatment is controversial, most authors propose priority should be getting the fracture to unite then treatment of infection. CONCLUSION: This report adds to the existing literature on infections following closed fractures and highlights the importance of considering infection in closed fractures and tailoring management strategies to individual patient factors.
RESUMEN
Complex regional pain syndrome (CRPS), characterized by severe and disproportionate pain, is a rare and debilitating condition. Due to its rarity, evidence-based treatment guidelines remain limited, creating a challenge for clinicians. We present the case of a 20-year-old female with CRPS type 1 of the right hand. Her pain, initially triggered by a minor trauma, had persisted for three months. The patient demonstrated severe pain, swelling, hyperesthesia, and restricted range of motion. Despite multiple hospital visits, her symptoms did not improve until she was diagnosed with CRPS and treated with oral prednisolone. A dosage of 40 mg daily led to a dramatic response within 10 days. Our report emphasizes the importance of recognizing CRPS and highlights the potential of prednisolone as a treatment option, particularly in resource-limited settings, where more specialized interventions may be unavailable. Further research is essential to establish a stronger evidence base for the use of steroids in CRPS management.