Sepsis requiring intensive care following intramuscular injections: two case reports
1 Department of Anaesthesiology and Critical Care Medicine, Patras University Hospital, Rion 26500, Greece
2 Department of Orthopaedic Surgery, Patras University Hospital, Rion 26500, Greece
3 Department of Radiology, Patras University Hospital, Rion 26500, Greece
Cases Journal 2009, 2:7365 doi:10.4076/1757-1626-2-7365Published: 18 August 2009
Intramuscular injections can rarely result in serious infectious complications such as abscesses which may progress to bacteraemia and generalized sepsis. These complications are rare, but can be life threatening, as they can lead to multi-organ failure associated with high morbidity and mortality.
In this report we present two patients who developed life-threatening infections after intramuscular injections. They were admitted to the hospital, had prompt surgical drainage, required ICU admission for severe sepsis, were treated with an early goal-directed therapy protocol and had a good outcome.
Sepsis is a rare, potentially life-threatening complication after intramuscular injections. Timely surgical drainage followed by appropriate ICU care and early goal directed therapy is crucial and may contribute to a good outcome in these rare cases.