Rich J D, Dickinson B P, Flanigan T P, Valone S E
The Miriam Hospital, Brown University, Providence, RI 02906, USA.
Med Sci Sports Exerc. 1999 Feb;31(2):207-9. doi: 10.1097/00005768-199902000-00001.
One million individuals in the United States, predominantly males under 25 yr of age, are current or past users of anabolic-androgenic steroids. Fifty percent of these young adults administer their drugs intramuscularly, placing them at risk for infections related to injection. We present here a case report of an injection-related thigh abscess in a 26-yr-old anabolic steroid injector who did not use sterile injection technique and reported sharing multidosage vials with two other weightlifting colleagues. Reported infections associated with anabolic-androgenic steroid injection include abscesses attributable to Mycobacterium smegmatis, Staphylococcus, Streptococcus, and Pseudomonas organisms as well as HIV, hepatitis B, and hepatitis C. These infections are primarily related to nonsterile injection technique, shared injection equipment, and are avoidable with appropriate prevention techniques. Education is needed to prevent infectious complications such as abscesses and blood-borne pathogens among anabolic-androgenic steroid injectors.
在美国，有100万人目前或曾经使用过合成代谢雄激素类固醇，其中主要是25岁以下的男性。这些年轻人中有50%通过肌肉注射使用药物，这使他们面临与注射相关的感染风险。我们在此报告一例26岁合成代谢类固醇注射者因注射导致大腿脓肿的病例，该患者未采用无菌注射技术，且报告称与另外两名举重伙伴共用多剂量药瓶。与合成代谢雄激素类固醇注射相关的感染包括由耻垢分枝杆菌、葡萄球菌、链球菌和假单胞菌属微生物引起的脓肿，以及艾滋病毒、乙型肝炎和丙型肝炎。这些感染主要与非无菌注射技术、共用注射设备有关，通过适当的预防技术是可以避免的。需要开展教育，以预防合成代谢雄激素类固醇注射者出现诸如脓肿和血源性病原体等感染并发症。
