Emergency Department Treatment Provides Immediate and Durable Relief Following Vaccine Injury: A Case Report
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 d...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2023-02-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/9w40465s |
| _version_ | 1828001032898084864 |
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| author | Adam Rowh Marta Rowh Mark Goodman |
| author_facet | Adam Rowh Marta Rowh Mark Goodman |
| author_sort | Adam Rowh |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T06:23:09Z |
| format | Article |
| id | doaj.art-bd5e0e249e744a928aadd099a9dfff2d |
| institution | Directory Open Access Journal |
| issn | 2474-252X |
| language | English |
| last_indexed | 2024-04-10T06:23:09Z |
| publishDate | 2023-02-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj.art-bd5e0e249e744a928aadd099a9dfff2d2023-03-02T02:16:42ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2023-02-017110.5811/cpcem.2022.11.57642cpcem-07-029Emergency Department Treatment Provides Immediate and Durable Relief Following Vaccine Injury: A Case ReportAdam Rowh0Marta Rowh1Mark Goodman2University of Colorado Health System, Department of Emergency Medicine, Loveland, ColoradoUniversity of Colorado Health System, Department of Emergency Medicine, Loveland, ColoradoSt. Charles Health System, Department of Emergency Medicine, Bend, OregonIntroduction: 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.https://escholarship.org/uc/item/9w40465s |
| spellingShingle | Adam Rowh Marta Rowh Mark Goodman Emergency Department Treatment Provides Immediate and Durable Relief Following Vaccine Injury: A Case Report Clinical Practice and Cases in Emergency Medicine |
| title | Emergency Department Treatment Provides Immediate and Durable Relief Following Vaccine Injury: A Case Report |
| title_full | Emergency Department Treatment Provides Immediate and Durable Relief Following Vaccine Injury: A Case Report |
| title_fullStr | Emergency Department Treatment Provides Immediate and Durable Relief Following Vaccine Injury: A Case Report |
| title_full_unstemmed | Emergency Department Treatment Provides Immediate and Durable Relief Following Vaccine Injury: A Case Report |
| title_short | Emergency Department Treatment Provides Immediate and Durable Relief Following Vaccine Injury: A Case Report |
| title_sort | emergency department treatment provides immediate and durable relief following vaccine injury a case report |
| url | https://escholarship.org/uc/item/9w40465s |
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