Frostbite secondary to antimycobacterial-induced peripheral neuropathy: a case report.

IF 1.4 Q3 EMERGENCY MEDICINE International Journal of Burns and Trauma Pub Date : 2024-04-15 eCollection Date: 2024-01-01 DOI:10.62347/GHPO4831
Shahad N Alanazi, Dana A Bali, Nawaf M Alwagdani, Youssof Mal, Maram T Alkhatieb, Hattan A AlJaaly, Zahir T Fadel
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Abstract

This case report describes a unique scenario in which antimycobacterial-induced peripheral neuropathy (PN) culminates in severe bilateral foot frostbite. Drug-induced peripheral neuropathy (DIPN) is explored in the context of TB treatment, highlighting the role of medications such as isoniazid (INH) and their potential to cause PN. The report highlights the importance of identifying PN in patients undergoing antimycobacterial treatment. Early recognition and proper management of PN is crucial to prevent complications. Notably, the report advocates for patient education regarding medication side effects and avoiding harmful practices, such as ice immersion, to alliviate neuropathic pain. Emphasis is directed towards the need for a multidisciplinary approach to patient care and a focus on preventative strategies to improve patient outcomes and avoid severe debilitating complications.

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抗霉菌引起的周围神经病变继发冻伤:病例报告。
本病例报告描述了一种独特的情况:抗霉菌药物诱发的周围神经病变(PN)最终导致严重的双侧足冻伤。报告结合结核病治疗探讨了药物诱发的周围神经病变(DIPN),强调了异烟肼(INH)等药物的作用及其导致周围神经病变的可能性。报告强调了在接受抗结核治疗的患者中识别 PN 的重要性。早期识别和妥善处理 PN 对预防并发症至关重要。值得注意的是,报告提倡对患者进行有关药物副作用的教育,避免采取冰浸等有害做法来缓解神经性疼痛。报告强调需要采用多学科方法对患者进行护理,并注重预防策略,以改善患者的治疗效果,避免出现严重的衰弱性并发症。
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