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A 25-year-old bodybuilder was hospitalized with a painful left upper arm five days after injecting 1.5 ml of a steroid preparation into the medial aspect of his left biceps brachii muscle. He reported using a sterile needle obtained from a pharmacy, but the source of the steroid vial was unknown. At the injection site, there was a tender, erythematous, palpably fluctuant mass, 10 by 6 cm (Panels A and B). The level of creatine kinase was 18,100 U per liter, and the white-cell count was 20.6x103 per cubic millimeter. Computed tomography revealed a large abscess containing gas in . . . [Full Text of this Article] |
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