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Necrotizing fasciitis related to injections of morphine (Skénan(®)) in a HIV-infected patient
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Necrotizing fasciitis related to injections of morphine (Skénan(®)) in a HIV-infected patient

Caroline Diot, Céline Eiden, Hubert Lenoir, Michel Chammas, Simone Xatart, Yves Leglise, Jacques Reynes et Hélène Peyrière
Therapie, Vol.69(2), pp.182-185
03/2014
PMID: 24926640

Résumé

Administration, Intravenous - adverse effects Adult AIDS-Related Opportunistic Infections - etiology AIDS-Related Opportunistic Infections - microbiology Candida albicans Candidiasis - etiology Fasciitis, Necrotizing - chemically induced Fasciitis, Necrotizing - microbiology HIV Infections - complications HIV-1 Humans Immunosuppressive Agents - administration & dosage Immunosuppressive Agents - adverse effects Male Morphine - administration & dosage Morphine - adverse effects Streptococcal Infections - etiology Streptococcal Infections - microbiology Substance-Related Disorders - complications Substance-Related Disorders - drug therapy
We report here a case of necrotizing fasciitis occurred because of intravenous misuse of morphine sulfate (Skénan (®)). Several factors are pertinent: the type of infection, rare but severe, the double localization of the necrotizing fasciitis, complicated by sepsis, the patient profile (HIV-infected) and the injected substance (opiate).

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