title: [Combined nerve damage and drug-induced cutaneous embolism after faulty intragluteal injection].
abstract: Injection-induced palsy of the ischiatic nerve with concomitant damage of other peripheral nerves occurred in two patients following intramuscular injection in the upper outer quarter of the large gluteal muscle. In close chronological connection skin changes developed in both cases representing drug-induced cutaneous embolism, and in one case extensive muscular necrosis was observed. In both cases the cause may be assumed to be ischaemic neuropathy following embolic occlusion of the vasa nervorum as a result of accidental intraarterial injection.
mesh_terms: D001172:Arthritis, Rheumatoid / Q000188:drug therapy; D002081:Buttocks; D003907:Dexamethasone / Q000008:administration & dosage; D004338:Drug Combinations; D004617:Embolism / Q000209:etiology*; D006801:Humans; D007273:Injections, Intramuscular / Q000009:adverse effects*; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D010653:Phenylbutazone / Q000008:administration & dosage; D012584:Sciatic Nerve / Q000293:injuries*; D012883:Skin Ulcer / Q000139:chemically induced; D014650:Vasa Nervorum
chemical_list: D004338:Drug Combinations; D003907:Dexamethasone; D008012:Lidocaine; D010653:Phenylbutazone
vernacular_title: Kombinierte Nervenschäden und Embolia cutis medicamentosa nach intraglutäaler Fehlinjektion.