Extremity complications of drug abuse

Cutaneous complications of intravenous drug abuse

“…These are a common site of injection, mainly the dorsum of the hand and the digits (Figs 3 and 6). 15,31,34,[90][91][92] Infection may affect all the anatomical structures of the hand causing abscesses, cellulitis, necrotizing fasciitis, tenosynovitis, arthritis, osteitis and osteomyelitis. Destruction of the articular cartilage causes finger deformities.…”

“…This phenomenon, called ‘puffy hand’ syndrome by Abeles, 93 seems to be specific to addiction 13,94 . The ‘puffy hand’ syndrome is a form of lymphoedema caused by the sclerosing action of the drugs 92–94 . Neviaser et al 94 .…”

Crush syndrome due to drug-induced compartment syndrome: A rare condition not to be overlooked

“…26,33 Reopening of the compartment threatens the development of full picture of crush syndrome. 20,32,34,35 Primary drug-induced rhabdomyolysis can also cause DCS with consecutive renal failure. 5,13,15,36 For heroin, alcohol, and barbiturates there are reports which show their direct infl uence on rhabdomyolysis with polyneuropathy.…”

“…17 The existing literature on crush syndrome with DCS consists mostly of individual cases and small case series. [18][19][20][21][22] The present study reviews the data from eight cases with a full clinical picture of the crush syndrome after DCS, which have been collected and analyzed over a period of 15 years. In these eight cases of DCS the problem of diagnosis and intraoperative evaluation of the soft tissue condition as well as its impact on postoperative complications are presented.…”

Drogennotfälle mit Opiaten

“…Es gibt aber eine Reihe von neurologischen Komplika-fektionen manifestieren sich als lokale Abszesse im Bereich der Injektionsstellen, nach lymphogener Wanderung als Fasziitis [33] oder hämatogen gestreut als Infektion in jedem erreichbaren Organ. Es gibt aber eine Reihe von neurologischen Komplika-fektionen manifestieren sich als lokale Abszesse im Bereich der Injektionsstellen, nach lymphogener Wanderung als Fasziitis [33] oder hämatogen gestreut als Infektion in jedem erreichbaren Organ.…”