A mimic of soft tissue infection: intra-arterial injection drug use producing hand swelling and digital ischemia / 世界急诊医学杂志(英文)
World Journal of Emergency Medicine
; (4): 233-236, 2015.
Article
de Zh
| WPRIM
| ID: wpr-789725
Bibliothèque responsable:
WPRO
ABSTRACT
BACKGROUND:
Inadvertent intra-arterial injection of illicit substances is a known complication of injection drug use and can lead to severe complications, including infection, ischemia and compartment syndrome. Identifying complications of intra-arterial injection can be difficult, as clinical manifestations overlap with other more common conditions such as cellulitis and soft tissue infection, and a history of injection drug use is frequently not disclosed.METHODS:
A 37-year-old male patient presented with 24 hours of right hand pain, erythema and swelling. Despite classic "track marks", he denied a history of injection drug use, and vascular insults were not initially considered. After failing to respond to three days of aggressive treatment for suspected deep-space infection, an arteriogram demonstrated findings consistent with digital ischemia of embolic etiology.RESULTS:
As a result of the delay in diagnosis, the lesion was not amenable to reperfusion and the patient required amputation of the distal digit.CONCLUSION:
Practitioners should be alert to the possibility of intra-arterial injection and resulting complications when evaluating unusual extremity infections or unexplained ischemic symptoms, even in the absence of a definite history of injection drug use.
Texte intégral:
1
Base de données:
WPRIM
Type d'étude:
Prognostic_studies
Langue:
Zh
Journal:
World Journal of Emergency Medicine
Année:
2015
Type de document:
Article