Transverse Myelitis from Intraarterial Penicillin

Abstract

A child was given intramuscular benzathine penicillin and experienced manifestations of sudden, irreversible transection of the spinal cord in the lower thoracic region. The biopsy supported an intravascular injection with occlusion of the spinal vasculature as the etiological mechanism. A review of similar cases reveals a recurring pattern-intramuscular injection with standard techniques and sites into a small muscle mass without evident blood return followed by rapid progression of paralysis. The problem seems to turn upon an inability to recognize the inadvertent intraarterial injection.

Document Details

Document Type
Pub Defense Publication
Publication Date
Oct 01, 1984
Source ID
10.1227/00006123-198410000-00015

Entities

People

  • Hernando Mena
  • Michael R. Weir
  • Walter S. Piskun
  • Wesley W. Stafford

Organizations

  • United States Army
  • William Beaumont Army Medical Center

Tags

Fields of Study

  • Medicine

Readers

  • Infectious Disease/Epidemiology
  • Neurotrauma and Rehabilitation Medicine.
  • Trauma Surgery or Emergency Medicine.