Ayurveda management of Nicolau syndrome W.S.R to Kotha – a case report
| Autor: | Pradeep Shindhe, Ramesh Shivappa Killedar, Shivay Gupta |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Necrosis Arterial embolism Kotha 0211 other engineering and technologies Case Report 02 engineering and technology Osteoarthritis 03 medical and health sciences Subcutaneous injection 0302 clinical medicine 021105 building & construction Drug Discovery medicine lcsh:Miscellaneous systems and treatments Ropana Gangrene Chedana karma business.industry Nicolau Syndrome Vasospasm Vrana shodhana medicine.disease lcsh:RZ409.7-999 030205 complementary & alternative medicine Surgery Complementary and alternative medicine Chills Nicolau syndrome medicine.symptom business |
| Zdroj: | Journal of Ayurveda and Integrative Medicine, Vol 12, Iss 1, Pp 165-168 (2021) Journal of Ayurveda and Integrative Medicine |
| ISSN: | 0975-9476 |
| Popis: | Administration of intramuscular, intraarterial or subcutaneous injection of particular drugs ends up into a rare entity known as Nicolau syndrome (NS). The viscous nature of these drugs sometimes triggers acute vasospasm and even arterial embolism. There is no consensus on treatment of NS so far. Phasic treatments depend on the extent of the necrotic lesion and ranges from medication to surgical debridement. Here we report a case of 60 year female known case of Knee Osteoarthritis who was dependent on Diclofenac injection IM for relief of pain. She presented with complaints of fever with chills, rigors, discoloration of skin at the gluteal region right side, later turned into necrosis of skin and adipose tissue, pus formation and associated with loss of appetite, dryness of mouth, pedal oedema. The case was diagnosed as NS according to contemporary science and Kotha (Gangrene) as per Ayurveda. The case was treated successfully with Chedana karma (Surgical debridement) followed by Vrana shodhana (making free from undesirable healing factors), Ropana (Closure of wound) and oral medications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|