Claudication Due to Sciatic Nerve Palsy Following Nicolau Syndrome: A Case Report
Nicolau syndrome is a rare drug reaction due to intramuscular injection administration that can lead to limb loss or even death. A 3.8- year-old Iranian boy received an intramuscular injection of Benzathine Penicillin. Immediately after injection the child developed lower limb pain and livedoid di...
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Format: | Article |
Language: | English |
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JCDR Research and Publications Private Limited
2015-10-01
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Series: | Journal of Clinical and Diagnostic Research |
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Online Access: | https://jcdr.net/articles/PDF/6596/14833_CE(RA1)_F(T)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdf |
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author | Masoud Hatefi Nabi Ramezani Pirabadi Javaher Khajavikhan Molouk Jaafarpour |
author_facet | Masoud Hatefi Nabi Ramezani Pirabadi Javaher Khajavikhan Molouk Jaafarpour |
author_sort | Masoud Hatefi |
collection | DOAJ |
description | Nicolau syndrome is a rare drug reaction due to intramuscular injection administration that can lead to limb loss or even death. A 3.8-
year-old Iranian boy received an intramuscular injection of Benzathine Penicillin. Immediately after injection the child developed lower
limb pain and livedoid discolouration and was referred to our department. The patient was diagnosed to develop Nicolau syndrome and
fasciotomy carried out due to compartment syndrome. Pharmacologic therapy with Heparin, Cefazolin and Methylprednisolone was
initiated. On 18th day, he was discharged, although he was not able to move. Finally, after 6 months of care at home, physiotherapy and
Electromyography (EMG) at regular intervals, the child was gradually able to move and his claudication improved. |
first_indexed | 2024-12-22T20:24:16Z |
format | Article |
id | doaj.art-54ec9a3ed01a4684bde67c704eacd34a |
institution | Directory Open Access Journal |
issn | 2249-782X 0973-709X |
language | English |
last_indexed | 2024-12-22T20:24:16Z |
publishDate | 2015-10-01 |
publisher | JCDR Research and Publications Private Limited |
record_format | Article |
series | Journal of Clinical and Diagnostic Research |
spelling | doaj.art-54ec9a3ed01a4684bde67c704eacd34a2022-12-21T18:13:45ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-10-01910RD01RD0210.7860/JCDR/2015/14833.6596Claudication Due to Sciatic Nerve Palsy Following Nicolau Syndrome: A Case ReportMasoud Hatefi0Nabi Ramezani Pirabadi1Javaher Khajavikhan2Molouk Jaafarpour3Neurosurgeon, Department of Neurosurgery, Medicine Faculty, Ilam University of Medical Science, Ilam, IR-Iran. Orthopaedist, Department of Orthopaedics, Medicine Faculty, Ilam University of Medical Science, Ilam, IR-Iran. Anaesthesiologist, Department of Anesthesiology, Medicine Faculty, Ilam University of Medical Science, Ilam, IR-Iran.MSc of Midwifery, Department of Midwifery, Nursing & Midwifery Faculty, Ilam University of Medical Science, Ilam, IR-Iran.Nicolau syndrome is a rare drug reaction due to intramuscular injection administration that can lead to limb loss or even death. A 3.8- year-old Iranian boy received an intramuscular injection of Benzathine Penicillin. Immediately after injection the child developed lower limb pain and livedoid discolouration and was referred to our department. The patient was diagnosed to develop Nicolau syndrome and fasciotomy carried out due to compartment syndrome. Pharmacologic therapy with Heparin, Cefazolin and Methylprednisolone was initiated. On 18th day, he was discharged, although he was not able to move. Finally, after 6 months of care at home, physiotherapy and Electromyography (EMG) at regular intervals, the child was gradually able to move and his claudication improved.https://jcdr.net/articles/PDF/6596/14833_CE(RA1)_F(T)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdfbenzathine penicillincompartment syndromechilddrug reaction |
spellingShingle | Masoud Hatefi Nabi Ramezani Pirabadi Javaher Khajavikhan Molouk Jaafarpour Claudication Due to Sciatic Nerve Palsy Following Nicolau Syndrome: A Case Report Journal of Clinical and Diagnostic Research benzathine penicillin compartment syndrome child drug reaction |
title | Claudication Due to Sciatic Nerve Palsy Following Nicolau Syndrome: A Case Report |
title_full | Claudication Due to Sciatic Nerve Palsy Following Nicolau Syndrome: A Case Report |
title_fullStr | Claudication Due to Sciatic Nerve Palsy Following Nicolau Syndrome: A Case Report |
title_full_unstemmed | Claudication Due to Sciatic Nerve Palsy Following Nicolau Syndrome: A Case Report |
title_short | Claudication Due to Sciatic Nerve Palsy Following Nicolau Syndrome: A Case Report |
title_sort | claudication due to sciatic nerve palsy following nicolau syndrome a case report |
topic | benzathine penicillin compartment syndrome child drug reaction |
url | https://jcdr.net/articles/PDF/6596/14833_CE(RA1)_F(T)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdf |
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