Acute limb ischemia secondary to myositis-induced compartment syndrome in a patient with human immunodeficiency virus infection.

Lam, Russell; Lin, Peter H; Alankar, Suresh; Yao, Qizhi; Bush, Ruth L; Chen, Changyi; Lumsden, Alan B · J Vasc Surg · 2003

case_report · Level V

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Abstract

Myositis, while uncommon, develops more frequently in patients with human immunodeficiency virus infection. We report a case of acute lower leg ischemia caused by myositis in such a patient. Urgent four-compartment fasciotomy of the lower leg was performed, which decompressed the compartmental hypertension and reversed the arterial ischemia. This case underscores the importance of recognizing compartment syndrome as a cause of acute limb ischemia.

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