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Intramuscular Anabolic Steroid Injection Leading to Life- Threatening Clostridial Myonecrosis by Matthew D. Driscoll, Anisha Arora, and Michael L. Brennan.

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Presentation on theme: "Intramuscular Anabolic Steroid Injection Leading to Life- Threatening Clostridial Myonecrosis by Matthew D. Driscoll, Anisha Arora, and Michael L. Brennan."— Presentation transcript:

1 Intramuscular Anabolic Steroid Injection Leading to Life- Threatening Clostridial Myonecrosis by Matthew D. Driscoll, Anisha Arora, and Michael L. Brennan J Bone Joint Surg Am Volume 93(16):e92 August 17, 2011 ©2011 by The Journal of Bone and Joint Surgery, Inc.

2 CT scout film and axial images demonstrate diffuse air within the right vastus lateralis muscle and in the fascial planes from the pelvis to the knee. Matthew D. Driscoll et al. J Bone Joint Surg Am 2011;93:e92 ©2011 by The Journal of Bone and Joint Surgery, Inc.

3 During the initial nine hours of hospitalization, the serum hemoglobin level dropped dramatically as a result of toxin-mediated hemolytic anemia, while serum creatinine and lactic acid levels increased. Matthew D. Driscoll et al. J Bone Joint Surg Am 2011;93:e92 ©2011 by The Journal of Bone and Joint Surgery, Inc.

4 Meat broth was injected with contents from the patient's steroid vial (center). Matthew D. Driscoll et al. J Bone Joint Surg Am 2011;93:e92 ©2011 by The Journal of Bone and Joint Surgery, Inc.


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