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Title:

Necrotic Arm Lesions in an Intravenous Drug User

Authors:

Amesh Adalja, Anjum S. Kaka

Date posted:

April 14, 2010

Publication type:

Report

Publication:

Intern Emerg Med 2010;5(5):439-440

Publisher:

Springer

DOI:

10.1007/s11739-010-0375-8

See also:

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Introduction:

A 62-year-old woman with a history of long-term intravenous drug use and chronic Hepatitis C virus infection was admitted to another hospital unresponsive with profound hypotension. Her symptoms were attributed to a drug overdose leading to a depressed mental status, and possibly septic shock with aspiration pneumonia. She was placed on mechanical ventilation, and treated with vasopressors, high-dose corticosteroids and several broad-spectrum antibiotics. Blood and urine cultures were negative. When she failed to improve after 1 week she was transferred to the intensive care unit at our institution.