Pyomyositis in Athletes After the Use of Anabolic Steroids - Case Reports

Abstract

Objective: To report on the management of five cases of pyomyositis in athletes after the use of anabolic steroids. Method: Over the past 10 years, five cases of athletes who developed pyomyositis after using anabolic steroids were attended at the Sports Trauma Center (CETE), EPM-UNIFESP. Results: All the patients were diagnosed clinically and through laboratory and imaging tests. Surgical treatment was carried out (with collection of material for culturing) and antibiotic therapy was administered. In four cases, the injection sites were in the upper limbs and in one case, in the gluteus muscles bilaterally as well as in the upper limbs. In all five cases, occurrences of leukocytosis and neutrophilia were observed in the hemogram. After debridement, the germs of normal skin (S. aureus and S. viridans) were found in cultures on the secretions. Demarcation of the abscess and examination of the muscle plane in which the abscess was located were performed using ultrasound and magnetic resonance imaging. All the patients responded to broad-spectrum antibiotic therapy. Two cases required more than one surgical procedure because of the appearance of more than one abscess site with different evolution times. Conclusion: The use of anabolic steroids by some athletes may have grave consequences. Rapid, energetic and multidisciplinary intervention is necessary in such cases in order to avoid undesirable results. The right treatment healed the athletes completely, and they returned to their sports at the same level.

Anabolic steroids among resistance training practitioners

“…With regards to injectable AS, a lack of proper asepsis care during the application increases the risk of infections. As a consequence, this may lead to hospitalizations given the practitioners’ progression to abscesses, which may turn into more severe conditions, such as muscular necrosis or sepsis [32]. With regards to oral AS, high hepatoxicity is expected [33, 16].…”

Investigação na formação de profissionais de Educação Física e Psicologia revela déficit no conhecimento sobre esteroides anabólico androgênicos

“…Apesar de um estudo ter demonstrado que 36,7% dos estudantes de Educação Física (EF) utilizavam EAA's (ABRAHIN et al, 2013), treinadores esportivos e preparadores físicos devem estar cientes dos riscos envolvidos com o uso de EAA's para poderem aconselhar possíveis usuários (DURANT; ESCOBEDO;HEATH, 1995;MIDDLEMAN;DURANT, 1996;WU, 1997). O uso também está associado a outros tipos de comportamentos de riscos, tais como: o compartilhamento de seringas (FILHO et al, 2011;IRIART, JORGE ALBERTO BERNSTEIN;ANDRADE, 2002); abuso de álcool e drogas ilícitas, como maconha e cocaína; tabagismo e hormônio de crescimento (ALTHOBITI et al, 2018); direção veicular perigosa (DURANT; ESCOBEDO;HEATH, 1995;NILSSON et al, 2001); comportamento agressivo (NILSSON et al, 2001;SCOTT;WAGNER;BARLOW, 1996); possibilidade de desenvolvimento de dependência psíquica e distúrbios de imagem corporal (HILDEBRANDT; LANGENBUCHER; G, 2004; POPE; KATZ, 1990;QUAGLIO et al, 2009), uma vez que observa-se entre estudantes de EF a importância de padrões físicos musculosos (CAMPANA et al, 2014). Consequentemente a esse quadro epidêmico, este estudo foi realizado com o intuito de investigar aspectos relacionados à formação de profissionais de EF e Psicologia (PSI) sobre EAA's.…”