Nicolau Syndrome: Case Report and Review of Reported Cases in Iran Pubmed



Maneshi A¹ ; Ravi S¹ ; Salehi MR² ; Hasannezhad M² ; Khalili H¹ Show Affiliations
Source: Archives of Iranian Medicine Published:2017

Abstract

A 23-year-old man was admitted to the hospital with chief complaints of pain, edema and spasm of the left lower limb, as well as mottling of dorsal and plantar aspects of the foot. One week before the current admission, he was treated with oral co-amoxiclav and intramuscular penicillin 6.3.3.lmmediately afterthe third injection, he experienced burning and yellowish discoloration at the site of the injection which then progressed to his leg and foot. Pain, significant edema, spasm and mottling occurred within 30 minutes of the injection. The patient was referred to the hospital after 36h from the beginning of symptoms. Color Doppler sonography revealed no impairment in the lower extremity flow and the common femoral artery superficial femoral, popliteal, dorsalis pedis and posterior tibialis arteries were normal. Superficial probe sonography detected mild effusion in the left ankle without collection. © 2017, Academy of Medical Sciences of I.R. Iran. All rights reserved.