title: Acute limb ischemia secondary to myositis-induced compartment syndrome in a patient with human immunodeficiency virus infection.
abstract: Myositis, while uncommon, develops more frequently in patients with human immunodeficiency virus infection. We report a case of acute lower leg ischemia caused by myositis in such a patient. Urgent four-compartment fasciotomy of the lower leg was performed, which decompressed the compartmental hypertension and reversed the arterial ischemia. This case underscores the importance of recognizing compartment syndrome as a cause of acute limb ischemia.
authors.affiliation: Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
authors.forename: Russell
authors.initials: R
authors.lastname: Lam
authors.forename: Peter H
authors.initials: PH
authors.lastname: Lin
authors.forename: Suresh
authors.initials: S
authors.lastname: Alankar
authors.forename: Qizhi
authors.initials: Q
authors.lastname: Yao
authors.forename: Ruth L
authors.initials: RL
authors.lastname: Bush
authors.forename: Changyi
authors.initials: C
authors.lastname: Chen
authors.forename: Alan B
authors.initials: AB
authors.lastname: Lumsden
mesh_terms: D000208:Acute Disease; D003161:Compartment Syndromes / Q000209:etiology* / Q000601:surgery; D015658:HIV Infections / Q000150:complications* / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery; D007866:Leg / Q000098:blood supply* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009220:Myositis / Q000150:complications* / Q000601:surgery; D014656:Vascular Surgical Procedures