title: Pulmonary embolism associated with the use of anabolic steroids.
abstract: We present the case of a 56-year-old man with deep vein thrombosis (DVT) and pulmonary embolism (PE). He had been given intramuscular injections of testosterone and the anabolic-androgenic steroid nandrolone, due to a muscle injury, a total of three times prior to manifestation of the symptoms. An ultrasonographic examination of the right leg revealed a DVT and computed tomography of the pulmonary arteries showed PE. The thromboembolic episodes in this previously healthy patient were in all probability associated with intramuscular injections of testosterone and nandrolone, to which there is a clear correlation in time.
authors.affiliation: Department of Internal Medicine, Karolinska Institutet, Södersjukhuset, SE-118 83, Stockholm, Sweden.
authors.forename: Sissela
authors.initials: S
authors.lastname: Liljeqvist
authors.forename: Anders
authors.initials: A
authors.lastname: Helldén
authors.forename: Ulf
authors.initials: U
authors.lastname: Bergman
authors.forename: Mårten
authors.initials: M
authors.lastname: Söderberg
mesh_terms: D045930:Anabolic Agents / Q000009:adverse effects*; D000728:Androgens / Q000009:adverse effects*; D006801:Humans; D007273:Injections, Intramuscular; D007866:Leg / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000293:injuries; D009277:Nandrolone / Q000009:adverse effects*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D013180:Sprains and Strains / Q000188:drug therapy; D013739:Testosterone / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology
chemical_list: D045930:Anabolic Agents; D000728:Androgens; D013739:Testosterone; D009277:Nandrolone