Infection resulted in muscles due to intramuscular injection
Clinical identification:
- History of injection to the site
- Swelling at the site of injection
- Redness at the site of injection
- Fever
- Difficulty in moving the limb
Characterstics features:
- Along with above symptoms Tenderness may be present
- Fluctuations may be present in some cases
Lab diagnosis:
- Gold standard: High resolution ultrasonography
- Initial tests: CBP- Elevated WBC count
Warning signs:
- Persistent pain and fever
- Signs of sepsis
- Positive fluctuation test
PEM’S initial management:
- Local care
- Cold compress
- Antibiotics :
AUGMENTIN 625mg TID
CLINDAMYCIN 300mg TID
- Analgesics/ Anti inflammatory
- IV formulation in Diabetics and Immunocompromised patients
Definitive management
- Drainage of abscess, wound care
- Sensitivity based Antibiotics
Submitted by
P.Bharathi