Rapid Infection of Bone and Soft Tissues of the Upper Extremity – Case Report

Česká verzia

Authors: P. Majtan
Authors place of work: Chirurgická klinika FNM a 2. LF UK, přednosta: prof. MUDr. Jiří Hoch, CSc.
Published in the journal: Rozhl. Chir., 2010, roč. 89, č. 9, s. 570-572.
Category: Monothematic special - Original

Summary

Long duration of intravenous drug abuse brings the risk of infectious and surgical complications. The case report of the forearm soft tissue and bone infection followed by rapid progress of compartment syndrome is described. Primary bone infection is unusual. It is necessary to think about it if the treatment of soft tissues comes short of the inflamation supression. Especially if an intravenous drug abuser is concerned. The case stresses the necessity of thinking of all the diagnostic possibilities and bone affliction with its risks and of the well-timed treatment urgency.

Key words:
osteomyelitis – phlegmon – compartment syndrome – intravenous drug abuse

Zdroje

1. Mravčík, V., Chomynová, P., Orlíková, B., Pešek, R., Škařupová, K., Škrdlantová, E., Miovská, L., Gajdošíková, H.,Vopravil, J. Výroční zpráva o stavu ve věcech drog v České republice v roce 2007 [Annual Report on Drug Situation 2007 – Czech Republic]. Praha: Úřad vlády České republiky. (2008).ISBN 978-80-87041-46-8

2. Biroš, E., Marsech, M., Rathaus, I:, Šváb, J. Pseudoaneuryzma a. brachialis – raritní kazuistika u dlouholetého intravenózního narkomana. Rozhl. Chir., 2007, 86, 6, 309–311.

3. Allison, D. C., Miller, T., Holtom, P., Patzakis, M. J., Zalarvas, Ch. G. Mikrobiology of upper extremity soft tissue abscesses in injecting drug abusers. Clinical Orthopaedics and related research, 2007, 461, 9–13.

4. Hau, T., Kallick, Ch. A. Surgical Infections in Drug Addicts. World J. Surg., 1980, 4, 403–413.

5. Pokorný, V., et al. Traumatologie. Nakladatelství Triton, 2002, 75–76. ISBN 80-7254-277-X

6. Torrens, C., Marin, M., Mestre, C., Alier, A., Nogues, X. Compartment syndrome and drug abuse. Acta orthopaedicae Belgica, 1993, 59, 143–146.

7. Swan, M. C., Lam, D., Giele, H. P. Intravascular Ecstasy: An unusual cause of thigh compartment syndrome. The Journal of Trauma Injury, Infection, and Critical Care. 2006, 60, 1129–1131.