Case Report

Gangrene of the Fingers after Accidental Intra-Arterial Injection of Diazepam in Mali: Case Report and Review of the Literature

Authors: Togola Birama, Bengaly Bréhima, Ouattara Drissa, Dara Eloi, Traoré Drissa, Coulibaly Mahamadou, Doumbia Arouna, Ongoïba Nouhoun, Togora Harouna.

DOI: 10.33425/2639-8486.1072

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Abstract

Accidental intra-arterial injection of medicine although rare is a serious complication of the intravenous treatment. The first clinical observations of iatrogenic intra-arterial injection were published since 1940. Major incident in health care, its consequences can be devastators such as skin necrosis, severe acute ischemia and amputation. This accident is less known by the caregivers. We report a case of distal gangrene of the fingers occurred after an accidental intra-arterial injection of Diazepam in a 21-year-old young man in a psychiatric context. The aim of this case report was to determine some risk factors, to identify immediate symptoms and treatments available in order to inform medical staff for this unhappy and serious incident.

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