Acute limb ischemia secondary to myositis-induced compartment syndrome in a patient with human immunodeficiency virus infection.
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.
Lam
Russell
R
Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Lin
Peter H
PH
Alankar
Suresh
S
Yao
Qizhi
Q
Bush
Ruth L
RL
Chen
Changyi
C
Lumsden
Alan B
AB
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