Nicolau Syndrome in a Child Caused by Penicillin Injection

A wide range of side effects can occur during drug administration. Nicolau Syndrome (NS) is a rare iatrogenic side effect of medications injected Intramuscularly (i.m.). The clinical manifestations range from localised pain and erythema to total necrosis requiring amputation. The present report is a...

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Main Authors: Rafat Abdulroof Alkadi, Ahmed Saleh Hudna, Mohammed Ali Al-Shehab, Omar Alzomor
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2022-01-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/15912/51750_CE[Ra1]_F(SL)_PF1(AG_SHU)_PFA(AG_KM)_PN(KM).pdf
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author Rafat Abdulroof Alkadi
Ahmed Saleh Hudna
Mohammed Ali Al-Shehab
Omar Alzomor
author_facet Rafat Abdulroof Alkadi
Ahmed Saleh Hudna
Mohammed Ali Al-Shehab
Omar Alzomor
author_sort Rafat Abdulroof Alkadi
collection DOAJ
description A wide range of side effects can occur during drug administration. Nicolau Syndrome (NS) is a rare iatrogenic side effect of medications injected Intramuscularly (i.m.). The clinical manifestations range from localised pain and erythema to total necrosis requiring amputation. The present report is about a five-year-old boy, who developed NS after receiving an i.m. injection of benzathine penicillin for treatment of pharyngitis. He developed symptoms minutes after the injection including intense pain at the site of injection followed by progressive discolouration and impairment of movement of the affected limb. The patient was treated with pentoxifylline, methylprednisolone, heparin and antibiotics in a hospital and after one month, complete improvement was noticed.
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spelling doaj.art-388c8bfa0d844e04997785f22d4dfce92023-01-30T11:08:45ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-01-01161SD01SD0310.7860/JCDR/2022/51750.15912Nicolau Syndrome in a Child Caused by Penicillin InjectionRafat Abdulroof Alkadi0Ahmed Saleh Hudna1Mohammed Ali Al-Shehab2Omar Alzomor3Senior Specialist, Department of Paediatrics, University of Science and Technology Hospital, Sana’a, Yemen.Assistant Professor, Department of Paediatrics, University of Science and Technology, Sana’a, Yemen.Senior Specialist, Department of Paediatrics, University of Science and Technology Hospital, Sana’a, Yemen.Consultant, Department of Paediatric Infectious Diseases, King Saud Medical City, Riyadh, Saudi Arabia.A wide range of side effects can occur during drug administration. Nicolau Syndrome (NS) is a rare iatrogenic side effect of medications injected Intramuscularly (i.m.). The clinical manifestations range from localised pain and erythema to total necrosis requiring amputation. The present report is about a five-year-old boy, who developed NS after receiving an i.m. injection of benzathine penicillin for treatment of pharyngitis. He developed symptoms minutes after the injection including intense pain at the site of injection followed by progressive discolouration and impairment of movement of the affected limb. The patient was treated with pentoxifylline, methylprednisolone, heparin and antibiotics in a hospital and after one month, complete improvement was noticed.https://www.jcdr.net/articles/PDF/15912/51750_CE[Ra1]_F(SL)_PF1(AG_SHU)_PFA(AG_KM)_PN(KM).pdfbenzathineintramuscularlivedo reticularispentoxifylline
spellingShingle Rafat Abdulroof Alkadi
Ahmed Saleh Hudna
Mohammed Ali Al-Shehab
Omar Alzomor
Nicolau Syndrome in a Child Caused by Penicillin Injection
Journal of Clinical and Diagnostic Research
benzathine
intramuscular
livedo reticularis
pentoxifylline
title Nicolau Syndrome in a Child Caused by Penicillin Injection
title_full Nicolau Syndrome in a Child Caused by Penicillin Injection
title_fullStr Nicolau Syndrome in a Child Caused by Penicillin Injection
title_full_unstemmed Nicolau Syndrome in a Child Caused by Penicillin Injection
title_short Nicolau Syndrome in a Child Caused by Penicillin Injection
title_sort nicolau syndrome in a child caused by penicillin injection
topic benzathine
intramuscular
livedo reticularis
pentoxifylline
url https://www.jcdr.net/articles/PDF/15912/51750_CE[Ra1]_F(SL)_PF1(AG_SHU)_PFA(AG_KM)_PN(KM).pdf
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AT omaralzomor nicolausyndromeinachildcausedbypenicillininjection