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[Staphylococcal infection after intramuscular injection].

M Zuber, T Mall

    Schweizerische Medizinische Wochenschrift
    |February 28, 1987
    PubMed
    Summary
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    Staphylococcus aureus septicemia, linked to gluteal abscesses from drug injections, proved difficult to diagnose due to subtle symptoms. Prompt recognition and treatment are crucial for managing this serious bloodstream infection.

    Area of Science:

    • Infectious Diseases
    • Rheumatology
    • Clinical Medicine

    Background:

    • Intramuscular injections for rheumatic conditions can lead to complications.
    • Septicemia is a severe bloodstream infection requiring timely diagnosis.

    Observation:

    • Two patients presented with backache and somnolence, later found to have Staphylococcus aureus bacteremia.
    • Both cases involved a gluteal abscess secondary to intramuscular injections.
    • Diagnosis was challenging due to the absence of typical local signs of infection.

    Findings:

    • Staphylococcus aureus was identified in blood cultures of both patients.
    • One patient succumbed to septic shock, highlighting the severity of the condition.
    • The study emphasizes the difficulty in differentiating injection-related abscess pain from underlying rheumatic pain.

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    Implications:

    • Highlights the importance of considering iatrogenic causes of septicemia, even with atypical presentations.
    • Underscores the need for heightened clinical suspicion for deep tissue infections following intramuscular drug administration.
    • Suggests a review of diagnostic and treatment strategies for Staphylococcus aureus septicemia secondary to abscesses.