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Spinal cord ischaemia following the gluteal injection of Benzathine benzylpenicillin.


ABSTRACT:

Introduction

Spinal cord injury is a devastating complication, though rare but possible following the intramuscular injection of the Penicillin. The spinal cord injury can be permanent, leaving the patient with paralysis, bowel and bladder incontinence, and with other associated morbidities.

Case presentation

We report a 25-year-old gentleman who developed anterior spinal cord syndrome following the benzathine benzylpenicillin injection. In this case report, we discuss the clinical details, possible hypothesis behind spinal cord ischaemia and literature review.

Discussion

Spinal cord ischaemia or infarction occurs due to embolism of the Penicillin products. The products following injection are carried as emboli retrogradely through the superior gluteal artery and can cause infarction to the cord's anterior part.

SUBMITTER: Osman SAN 

PROVIDER: S-EPMC8934870 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature

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Spinal cord ischaemia following the gluteal injection of Benzathine benzylpenicillin.

Osman Suha A N SAN   Swarna Shyam S SS   Russell-Hobbs Kate K   Hariharan Sankar S   Babiker Ayah M AM  

Spinal cord series and cases 20220321 1


<h4>Introduction</h4>Spinal cord injury is a devastating complication, though rare but possible following the intramuscular injection of the Penicillin. The spinal cord injury can be permanent, leaving the patient with paralysis, bowel and bladder incontinence, and with other associated morbidities.<h4>Case presentation</h4>We report a 25-year-old gentleman who developed anterior spinal cord syndrome following the benzathine benzylpenicillin injection. In this case report, we discuss the clinica  ...[more]

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