Arm necrosis due to intra-arterial drug injection: report a case
- Author:
Nam Hoai Nguyen
- Publication Type:Journal Article
- Keywords:
drug injection
- MeSH:
Substance Withdrawal Syndrome;
Alcohol Withdrawal Delirium;
diagnosis
- From:Journal of Practical Medicine
2002;435(11):29-32
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Injection-related necrosis is a common pattern in the arterial injuries. But the acute embolization that led to extremity necrosis is very rare. Here we described a case of 43-year male patient with arm necrosis due to intra-arterial drug injection. The patient has addicted drug for 24 years and has injected opium for 18 years with dose of 2 ml self-prepared opium solution, 3-4 times daily. On April 2000, after second injection of a day, the patient felt burn and pain in his left hand. Then watery purples and necrotic papules appeared on the skin of left arm. He was treated by antibiotics, analgesics, and vasodilators, but the condition was not improved. The patients had to be amputated his left arm after 3 days of admission.
