| Calcinosis cutis complicated by compartment syndrome following extravasation of calcium gluconate in a neonate: a case report. | |
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MedLine Citation:
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PMID: 20713289 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Hypocalcemia most frequently occurs in premature neonates. It is usually treated by intravenous (iv) calcium supplementation. However, complications caused by extravasation of iv calcium gluconate include localized soft tissue calcification, necrosis, cellulitis, osteomyelitis, and even compartment syndrome. We present a rare case of iatrogenic calcinosis cutis complicated by compartment syndrome secondary to extravasation of iv calcium gluconate in a neonate. Emergent fasciotomy was performed twice for decompression of compartment syndrome. Histologic findings revealed necrosis and calcification. Appropriate antibiotics were administered to control secondary infection. To the best of our knowledge, there were no previous case reports of calcinosis cutis with compartment syndrome in infants. Although iatrogenic calcinosis cutis is generally a benign entity, the early recognition of the presentation of extravasation of calcium gluconate is important to avoid severe complications and possible medical malpractice disputes. This report aims to raise doctors' awareness of the presentation, course, and management of this relatively rare iatrogenic complication. |
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Authors:
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Tuo-Kang Chen; Chueh-Yuan Yang; Shu-Jen Chen |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pediatrics and neonatology Volume: 51 ISSN: 1875-9572 ISO Abbreviation: Pediatr Neonatol Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-17 Completed Date: 2010-12-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101484755 Medline TA: Pediatr Neonatol Country: Singapore |
Other Details:
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Languages: eng Pagination: 238-41 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Keelung Hospital, Keelung, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Calcinosis
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chemically induced*,
diagnosis,
therapy Calcium Gluconate / adverse effects* Compartment Syndromes / diagnosis, etiology*, therapy Extravasation of Diagnostic and Therapeutic Materials / complications* Humans Hypocalcemia / complications, drug therapy*, pathology Infant, Newborn Infant, Premature Infant, Premature, Diseases Male Skin Diseases / chemically induced*, diagnosis, therapy |
| Chemical | |
Reg. No./Substance:
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299-28-5/Calcium Gluconate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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