Necrotizing myositis of the deltoid following intramuscular injection of anabolic steroid

摘要

A 25-year-old male bodybuilder was admitted in septic shock. He had marked limitation of left shoulder movement with non-fluctuant swelling extending from the acromio-clavicular joint to the postero-lateral and anterior deltoid. Lesions consistent with herpes labialis were also noted. A computed tomography scan demonstrated collections of both gas and fluid within the deltoid muscle and numerous pockets of gas within the soft tissues conforming to the fascial planes (Figure 1). On further questioning he admitted to injecting himself with anabolic steroids into the left deltoid region six days prior to admission.