title: [Severe pain and livid discoloration in the left leg of a 32-year-old patient after intravascular heroin injection].
abstract: Acute leg ischemia after intra-arterial drug injection represents a critical vascular emergency scenario. Due to lack of evidence-based standards therapeutic strategies are oriented to the underlying pathomechanisms. For a sufficient therapy a close clinical monitoring and laboratory analyses as well as treatment with analgesics, anticoagulants, anti-inflammatory and spasmolytic agents are of utmost importance. This article reports on the diagnostic and therapeutic approaches in a 32-year-old patient with acute leg ischemia after intra-arterial administration of heroin and secondary infection with Peptostreptococcus and Peptoniphilus species.
authors.affiliation: Klinik für Kardiologie und Angiologie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland, akin.muharrem@mh-hannover.de.
authors.forename: M
authors.initials: M
authors.lastname: Akin
authors.forename: H
authors.initials: H
authors.lastname: Oswald
authors.forename: I
authors.initials: I
authors.lastname: Akin
authors.forename: J
authors.initials: J
authors.lastname: Bauersachs
authors.forename: M-U
authors.initials: MU
authors.lastname: Brehm
mesh_terms: D059787:Acute Pain / Q000139:chemically induced* / Q000175:diagnosis / Q000517:prevention & control; D000328:Adult; D016908:Gram-Positive Bacterial Infections / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy; D003932:Heroin / Q000506:poisoning*; D006801:Humans; D007269:Injections, Intra-Arterial / Q000009:adverse effects; D007511:Ischemia / Q000139:chemically induced* / Q000188:drug therapy / Q000517:prevention & control; D007866:Leg / Q000098:blood supply*; D010462:Peptostreptococcus
chemical_list: D003932:Heroin
vernacular_title: Massive Schmerzen und livide Verfärbung des linken Beins nach intravaskulärer Heroininjektion bei einem 32-jährigen Patienten.