A case report of multiple fractures with arterial vasospasm associated with ergotamine use.
Vasospasm that develops in association with ergotamine use is a rarely seen but well-understood complication. A case is presented here of multiple fractures in which arteriospasm affecting all the arteries of the lower limb on the same side occurred 10 days post-trauma. In this case, the arteriospasm resulting from ergotamine addiction and high doses of ergotamine, which may be confused with post-traumatic angiospasm, was treated with a marcaine infusion by epidural catheter and heparin, iliomedin and nitronal infusion intravenously. This clinical condition should be borne in mind for all trauma cases determined to have arterial vasospasm, and the use of ergotamine must be queried when taking the anamnesis from the patient.
Department of Orthopedics and Traumatology, Suşehri State Hospital, Sivas, Turkey. karalama@mynet.com.
Abdullah
A
Küçükalp
Kemal
K
Durak
Muhammet Sadık
MS
Bilgen
D003937:Diagnosis, Differential; D004878:Ergotamine / Q000009:adverse effects* / Q000627:therapeutic use; D000069076:Fractures, Multiple / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D007866:Leg / Q000098:blood supply / Q000000981:diagnostic imaging; D007869:Leg Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000188:drug therapy; D011859:Radiography; D014652:Vascular Diseases / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis*; D014661:Vasoconstriction; D014662:Vasoconstrictor Agents / Q000009:adverse effects* / Q000627:therapeutic use
D014662:Vasoconstrictor Agents; D004878:Ergotamine