التفاصيل البيبلوغرافية
| العنوان: |
A mimic of soft tissue infection: intra-arterial injection drug use producing hand swelling and digital ischemia. |
| المؤلفون: |
Foster, Sean D., Lyons, Michael S., Runyan, Christopher M., Otten, Edward J. |
| المصدر: |
World Journal of Emergency Medicine; Sep2015, Vol. 6 Issue 3, p233-236, 4p |
| مصطلحات موضوعية: |
DRUG utilization, SUBSTANCE abuse, ISCHEMIA treatment, COMPARTMENT syndrome, ERYTHEMA |
| مستخلص: |
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 diffi cult, 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 fi ndings 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 defi nite history of injection drug use. [ABSTRACT FROM AUTHOR] |
|
Copyright of World Journal of Emergency Medicine is the property of Zhejiang University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder