
Acute Bullous Eruption With Compartment Syndrome Due to Intravenous Infiltration
Michelle L. Spenny, MD;
Kathleen Y. Moen, MD;
James G. H. Dinulos, MD
Arch Dermatol. 2004;140:798-800.
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REPORT OF A CASE
A healthy 3-year-old girl presented to an outside hospital with symptoms consistent with respiratory syncytial virus bronchiolitis. On admission, she received 30 mg of methylprednisolone succinate and a 300-mL bolus of normal saline through a 22-g intravenous (IV) catheter inserted in the dorsal aspect of the left hand. The normal saline was administered at 150 mL/h for 2 hours and then changed to 5% dextrose in 0.45% sodium chloride solution at 75 mL/h. After 18 hours, blood cultures yielded gram-positive cocci in pairs and chains, and IV ceftriaxone sodium therapy was initiated at a dosage of 50 mg/kg per day. The next morning, blisters were noted on the left elbow just proximal to an IV arm board used to secure the hand catheter. After a second infusion of ceftriaxone, the patient reported extreme pain in her left . . . [Full Text of this Article]
DIAGNOSTIC CHALLENGE
COMMENT
From the Dartmouth Hitchcock Medical Center, Lebanon, NH.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Severe Intraoperative Acute Compartment Syndrome with Bullous Eruption Complicating IV Fluid Administration.
Scholtes et al.
Anesth. Analg. 2006;103:783-784.
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