Calcinosis cutis complicated by compartment syndrome following extravasation of calcium gluconate in a neonate

A case report

Tuo Kang Chen, Chueh Yuan Yang, Shu Jen Chen

研究成果: 雜誌貢獻回顧型文獻

9 引文 (Scopus)

摘要

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.

原文英語
頁(從 - 到)238-241
頁數4
期刊Pediatrics and Neonatology
51
發行號4
DOIs
出版狀態已發佈 - 一月 1 2010
對外發佈Yes

指紋

Calcium Gluconate
Calcinosis
Compartment Syndromes
Newborn Infant
Necrosis
Dissent and Disputes
Cellulitis
Hypocalcemia
Malpractice
Osteomyelitis
Decompression
Coinfection
Anti-Bacterial Agents
Calcium

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

引用此文

Calcinosis cutis complicated by compartment syndrome following extravasation of calcium gluconate in a neonate : A case report. / Chen, Tuo Kang; Yang, Chueh Yuan; Chen, Shu Jen.

於: Pediatrics and Neonatology, 卷 51, 編號 4, 01.01.2010, p. 238-241.

研究成果: 雜誌貢獻回顧型文獻

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AB - 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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