title: Death due to an unrecognized groin abscess in a drug addict: a retrospective study.
abstract: Intravenous drug injection persists despite health risks and medical complications. Venous thrombosis, septic thrombophlebitis, artery necrosis, arterio-venous fistula, mycotic aneurysm, dissecting hematoma, pseudoaneurysm formation, and soft tissues infections (i.e. abscesses, cellulitis, infected ulcers), are some of the major clinical consequences lives threatening. The aim of this work is to present this unusual autoptic case of a drug addict man died for an unrecognized groin abscess referred to the Institute of Legal Medicine, University of Chieti, causing femoral vein's erosion, and to analyse the most common patterns of vascular lesions among drug addicts. It could be stimulated a new scientific debate because groin injections and their vascular complications increase over years; while soft tissue infections may hide vascular lesions' diagnosis. So physicians should have a high index of suspicion for serious vascular problems, among intravenous drug users (IDUs): prevention for avoiding groin injection and a proper treatment are necessary.
authors.affiliation: Department of Medicine and Aging Sciences, Section of Legal Medicine, University G. d'Annunzio of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy. cridov@yahoo.it
authors.forename: Cristian
authors.initials: C
authors.lastname: D'Ovidio
authors.forename: Paola
authors.initials: P
authors.lastname: Vellante
authors.forename: Sara
authors.initials: S
authors.lastname: Costantini
authors.forename: Aldo
authors.initials: A
authors.lastname: Carnevale
mesh_terms: D000038:Abscess / Q000209:etiology* / Q000473:pathology; D000328:Adult; D055030:Drug Users; D005268:Femoral Vein / Q000473:pathology*; D049429:Forensic Pathology; D006119:Groin; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D012771:Shock, Hemorrhagic / Q000209:etiology*; D015819:Substance Abuse, Intravenous / Q000150:complications*