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    Reusing needles for anabolic-androgenic steroid injections can lead to serious infections like thigh abscesses. Prompt medical treatment, including antibiotics and surgical drainage, is crucial for recovery.

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    Area of Science:

    • Medicine
    • Infectious Diseases
    • Pharmacology

    Background:

    • Intramuscular administration of anabolic-androgenic steroids (AAS) is common for performance enhancement and therapeutic purposes.
    • Non-sterile injection practices and needle sharing increase the risk of localized and systemic infections.
    • Abscess formation is a known complication of parenteral drug administration, particularly with repeated or improper technique.

    Purpose of the Study:

    • To report a case of a thigh abscess secondary to intramuscular anabolic-androgenic steroid (AAS) injection.
    • To emphasize the potential complications arising from unsafe injection practices in AAS users.
    • To highlight the importance of sterile techniques and single-needle use in preventing injection-related infections.

    Main Methods:

    • Case report of a 24-year-old male patient presenting with a thigh abscess.
    • Clinical examination, microbiological investigation (if performed), and imaging (if performed) were used for diagnosis.
    • Treatment involved intravenous antibiotics and surgical drainage of the abscess.

    Main Results:

    • The patient developed a significant thigh abscess attributed to the intramuscular injection of AAS with reused needles.
    • Successful treatment was achieved through a combination of broad-spectrum intravenous antibiotics and surgical intervention for abscess evacuation.
    • The patient's recovery was uneventful following the prescribed treatment regimen.

    Conclusions:

    • Reusing needles for intramuscular anabolic-androgenic steroid injections poses a significant risk of developing deep tissue infections, such as abscesses.
    • Prompt and appropriate medical management, including surgical drainage and antibiotic therapy, is essential for treating such complications.
    • Education on safe injection practices, including the use of sterile, single-use needles, is critical for individuals using injectable steroids.