Development of retroperitoneal abscess following routine injection of triamcinolone for musculoskeletal pain
  • Sierra Sullivan
    Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  • Blayne Fenner
    Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  • Hannah McCool
    Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  • Jesus Davalos
    Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  • Neha Mittal
    Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA

Keywords

Triamcinolone, intramuscular injection, musculoskeletal pain, retroperitoneal abscess, methicillin-resistant Staphylococcus aureus (MRSA)

Abstract

Glucocorticoid intramuscular injections are a quick, routine procedure done in an outpatient setting to relieve musculoskeletal pain quickly. However, despite being a low-risk procedure it can lead to local infections, including abscess and skin necrosis, and even more rarely, bacteraemia and multi-organ failure. In this case, we present a healthy, immunocompetent woman in her 40s diagnosed with a retroperitoneal abscess due to methicillin-resistant Staphylococcus aureus after an intramuscular injection of triamcinolone.

VIEW THE ENTIRE ARTICLE

References

  • Velissaris D, Matzaroglou C, Kalogeropoulou C, Karamouzos V, Filos K, Karanikolas M. Sepsis requiring intensive care following intramuscular injections: two case reports. Cases J 2009;18:7365
  • Holland C, Jaeger L, Smentkowski U, Weber B, Otto C. Septic and aseptic complications of corticosteroid injections: an assessment of 278 cases reviewed by expert commissions and mediation boards from 2005 to 2009. Dtsch Arztebl Int 2012;109:425–430
  • Salvatore T, Sasso FC. Cushing syndrome and giant sterile abscess induced by self intramscular injection of supra-therapeutic doses of triamcinolone. Drug Metab lett 2013;7:65–67
  • Kortelainen ML, Särkioja T. Fatal complications of intramuscular and intra-articular injections. Z Rechtsmed 1900;103:547–554
  • Sambandam SN, Rohinikumar GJ, Gul A, Mounasamy V. Intramuscular injection abscess due to VRSA: a new health care challenge. Arch Bone Jt Surg 2016;4:277–281
    • Fig 2. Pre-drainage image

    Views: 289
    PDF downloads: 282
    HTML downloads: 39

    Published: 2023-07-29
    Issue: 2023: Vol 10 No 8 (view)

    How to cite:
    1.
    Sullivan S, Fenner B, McCool H, Davalos J, Mittal N. Development of retroperitoneal abscess following routine injection of triamcinolone for musculoskeletal pain. EJCRIM 2023;10 doi:10.12890/2023_003988.

    Most read articles by the same author(s)