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
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From the Dartmouth Hitchcock Medical Center, Lebanon, NH.
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Severe Intraoperative Acute Compartment Syndrome with Bullous Eruption Complicating IV Fluid Administration.
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Anesth. Analg. 2006;103:783-784.
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