Clostridial myonecrosis following intra-articular steroid injection.
Fatal clostridial myonecrosis occurred in a 65-year-old man after intra-articular injection of steroids to the shoulder joint. Clinical evidence of the possibility of clostridial infection is sufficient reason to initiate treatment. The opportunity to save a life may be lost by waiting for paraclinical data for definitive diagnosis to initiate treatment. "Surgical skin prep" for every intra-articular injection is a preventive measure. Increasing joint pain after intraarticular injection should be considered a serious complaint and requires careful clinical follow-up observations.
D000368:Aged; D000985:Antisepsis; D002062:Bursitis / Q000188:drug therapy; D005738:Gas Gangrene / Q000150:complications / Q000209:etiology*; D006801:Humans; D007270:Injections, Intra-Articular / Q000009:adverse effects*; D008297:Male; D009135:Muscular Diseases / Q000209:etiology*; D009336:Necrosis; D012785:Shoulder Joint; D014221:Triamcinolone / Q000008:administration & dosage
D014221:Triamcinolone