Emergency Department Treatment Provides Immediate and Durable Relief Following Vaccine Injury: A Case Report

Autor: Adam Rowh, Marta Rowh, Mark Goodman
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Clinical Practice and Cases in Emergency Medicine, Vol 7, Iss 1 (2023)
Druh dokumentu: article
ISSN: 2474-252X
DOI: 10.5811/cpcem.2022.11.57642
Popis: Introduction: Intramuscular administration of vaccines into the deltoid muscle is the recommended route for most vaccines in adults. Ectopic injection into the subdeltoid/subacromial bursa can produce an inflammatory bursitis that is associated with significant long-term morbidity. Case Report: We describe a novel approach to treatment of this condition: ultrasound-guided administration of dexamethasone by the emergency physician within six hours of vaccine administration. This approach resulted in complete and durable long-term resolution of symptoms with no functional impairment. Conclusion: This outcome is superior to that described for usual care, and the approach is well-suited to emergency physicians.
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