Antibiotic-Impregnated Intramedullary Cement Nail-Induced Acute Generalized Exanthematous Pustulosis and Septic Shock
| Autor: | Paul J. Girard, Brendon C. Mitchell, William T. Kent |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty law.invention Intramedullary rod Postoperative Complications Vancomycin law Humans Medicine Orthopedics and Sports Medicine Fractures Malunited business.industry Septic shock Acute generalized exanthematous pustulosis medicine.disease Pustulosis Shock Septic Rash Intensive care unit Anti-Bacterial Agents Femoral Neck Fractures Fracture Fixation Intramedullary Surgery medicine.anatomical_structure Morbilliform rash Acute Generalized Exanthematous Pustulosis Nail (anatomy) Female medicine.symptom business |
| Zdroj: | JBJS Case Connector. 10:e0441-e0441 |
| ISSN: | 2160-3251 |
| Popis: | CASE A 28-year-old woman with an infected proximal femur nonunion was treated with an antibiotic-coated intramedullary nail. Shortly after discharge, the patient presented to the emergency department and was readmitted with a morbilliform rash sparing the left lower extremity. She became hemodynamically unstable, despite cessation of intravenous antibiotics, requiring transfer to the intensive care unit and urgent removal of her antibiotic nail. She improved after surgery, and biopsy results from the rash confirmed acute generalized examthematous pustulosis. CONCLUSION Acute generalized exanthematous pustulosis is a rare, dermatologic crisis that can be precipitated by antibiotics, even in the form of antibiotic cement. |
| Databáze: | OpenAIRE |
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