title: [Different treatments used in a case of gangrene due to accidental intra-arterial injection of methylphenidate (rilatine)].
abstract: A case of self-administrated injection of a solution of méthylphénidate (Rilatine) into the brachial artery is described. Intensive treatment which was started within 12 hours including repeated stellate blocks, intraarterial and intravenous injections of vasodilators and hyperbaric oxygen leaded to limited loss of the tips of the fingers. The increase hasards of intraarterial injections of dissolved tablets in addicts enhance us to investigate further on earlier and more energetic treatment in these cases.
mesh_terms: D000328:Adult; D005385:Fingers; D005734:Gangrene / Q000139:chemically induced* / Q000628:therapy; D006801:Humans; D006931:Hyperbaric Oxygenation; D007269:Injections, Intra-Arterial / Q000009:adverse effects; D008297:Male; D008774:Methylphenidate / Q000506:poisoning*; D010166:Palliative Care; D012646:Self Administration; D012651:Self Medication; D019966:Substance-Related Disorders; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D014665:Vasodilator Agents; D008774:Methylphenidate
vernacular_title: A propos de différents traitements utilisés dans un cas de gangrène liée a l'injéction accidentelle intra-artérielle de méthylphénidate (rilatine).