Shahida Parveen Afridi, Aisha Memon, Shams Nadeem Alam.
Recurrent abscesses following an intra muscular injection of diclofenac sodium.
J Surg Pak Jan ;16(2):82-4.

Two young females and one obese male presented with multiple discharging sinuses due to recurrent injection abscesses that burst spontaneously following intramuscular (IM) injections of diclofenac sodium. These abscesses were formed in relation to repeated IM injections given in order to relieve the pain. Multiple discharging sinuses led to disfigurement of the arm that was managed by wide local excision. Skin loss was dealt with skin grafting. Learning the proper technique of administering an intramuscular injection, alternating the injection site and change of analgesic can help to minimize the possibility of these complications from tissue necrosis.

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