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Case Reports
. 2016 Jun;4(3):277-81.

Intramuscular Injection Abscess Due to VRSA: A New Health Care Challenge

Senthil Nathan Sambandam  1 , Ganeshkumar Jayasree Rohinikumar  1 , Arif Gul  1 , Varatharaj Mounasamy  1
Affiliations
Case Reports

Intramuscular Injection Abscess Due to VRSA: A New Health Care Challenge

Senthil Nathan Sambandam et al. Arch Bone Jt Surg. 2016 Jun.

Abstract

Abscess formation following intramuscular injections is rare and they are most commonly seen in immunocompromised individuals. In this case series we present a cohort of three patients presented to us in a critically ill condition with an abscess due to intramuscular injection. Vancomycin resistant staphylococcus aureus was isolated from all three patients. These patients posed a major challenge to the healthcare system and the treating physician because of the: severity of illness, virulence and resistance of the organism, rarity of the situation, immune state of the patient, and lack of supporting evidence to properly guide management in the use of health resources. To the best of our knowledge, there is no report available in the English literature on vancomycin resistant staphylococcus aureus associated with intramuscular injection abscess.

Keywords: Immunocompromised patients; Intramuscular injection; VRSA.

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Figures

Figure 1
Figure 1
Case 1 gluteal abscess - pre operative MRI- axial view.
Figure 2
Figure 2
Case 1 gluteal abscess - pre operative MRI- coronal view.
Figure 3
Figure 3
Case 1 gluteal abscess - intraoperative appearance of deep muscle.
Figure 4
Figure 4
Case 1 gluteal abscess - intraoperative appearance of superficial muscle.
Figure 5
Figure 5
Case 3 deltoid abscess - pre operative MRI- axial view.
Figure 6
Figure 6
Case 3 deltoid abscess - pre operative MRI- coronal view.
See this image and copyright information in PMC

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