Document Detail

Bilateral mycotic axillary artery false aneurysms in an intravenous drug user: unsuspected broken needle-tips pose a risk to the treating personnel.
MedLine Citation:
PMID:  1499749     Owner:  NLM     Status:  MEDLINE    
Mycotic false aneurysms due to local arterial injury from attempted intravenous injections in drug addicts are increasing in frequency. The high incidence of HIV and hepatitis B virus in parenteral drug users may present a considerable risk to the treating personnel. This paper reports the unsuspected presence of broken needle-tips in the subcutaneous tissues of an intravenous drug abuser, in association with bilateral mycotic aneurysms of the axillary arteries. Broken needle-tips have the potential to cause needlestick injury to the operating team and the nursing staff, with the associated risk of transmission of HIV and hepatitis B virus infection. The presence of broken needle-tips should be suspected in drug users presenting with false aneurysms associated with local arterial injection injury and a specific history of needle-breakage should be sought. Preoperative plain radiographs should be performed of the planned operative field to exclude the presence of such needle-tips. Any soft tissue swelling in the vicinity of a major artery in an intravenous drug abuser should be suspected of being a false aneurysm until proven otherwise and should prompt immediate referral to a vascular surgeon for investigation and management.
P J Walker; G H White; J P Harris; K M Alle; J May
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of vascular surgery     Volume:  6     ISSN:  0950-821X     ISO Abbreviation:  Eur J Vasc Surg     Publication Date:  1992 Jul 
Date Detail:
Created Date:  1992-09-16     Completed Date:  1992-09-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8709440     Medline TA:  Eur J Vasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  434-7     Citation Subset:  IM; X    
Department of Vascular Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
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MeSH Terms
Aneurysm, Infected / radiography,  surgery*
Axillary Artery / injuries*,  radiography,  surgery
Foreign Bodies / complications*,  radiography,  surgery
Needlestick Injuries / etiology*,  radiography
Occupational Diseases / etiology*
Postoperative Complications / radiography,  surgery
Risk Factors
Substance Abuse, Intravenous / complications*,  radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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