A misplaced intramuscular injection and limb-threatening ischemia.

Sarkar, Sumantra; Misra, Sarbani; Nandi, Madhumita; Mondal, Rakesh · J Family Med Prim Care · 2017

case_report · Level V

Where this comes from

Abstract

Femoral artery thrombosis is a rare complication of intramuscular (IM) injection in children. A 12-month-old boy presented with right lower limb ischemia and digital gangrene 3 days after an injection of ceftriaxone administered to his medial aspect of the right thigh. Successful thrombolysis and partial limb salvage was possible with enoxaparin despite a late presentation. Unnecessary and unsafe IM injection in community practice might lead to such devastating outcome which should be avoided.