Sterile abscess formation following a corticosteroid injection for the treatment of plantar fasciitis.
A sterile abscess following a corticosteroid injection for the treatment of plantar fasciitis has not been reported in the literature. This case report demonstrates such a complication. A 45-year-old man presented with pain, erythemia, edema, and increased warmth to his left foot after 2 cortisone injections into his left heel over a 2-month period for plantar fasciitis. The symptoms began shortly after the second injection and after a 10-day course of oral antibiotics, the condition slowly worsened. A computerized axial tomography scan was suggestive of an abscess. Following incision and drainage, cultures that were taken during the surgical procedure did not produce any organism, prompting a diagnosis of a sterile abscess. The patient was discharged home and recovered from the abscess without reoccurrence or further surgical intervention.
Buccilli
Theodore A
TA
Forum Health/Western Reserve Care System, The Orthopaedic Center, Canfield, OH, USA. footdoctor2002@aol.com
Hall
Hugh Ryan
HR
Solmen
James D
JD
D000038:Abscess / Q000188:drug therapy / Q000209:etiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002481:Cellulitis / Q000188:drug therapy / Q000209:etiology; D003907:Dexamethasone / Q000008:administration & dosage / Q000009:adverse effects*; D036981:Fasciitis, Plantar / Q000188:drug therapy*; D005938:Glucocorticoids / Q000008:administration & dosage / Q000009:adverse effects*; D006365:Heel; D006801:Humans; D007267:Injections / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D014640:Vancomycin / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D014640:Vancomycin; D003907:Dexamethasone