D'Ovidio Cristian, Vellante Paola, Costantini Sara, Carnevale Aldo
Department of Medicine and Aging Sciences, Section of Legal Medicine, University G. d'Annunzio of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy.
J Forensic Leg Med. 2013 Jul;20(5):382-6. doi: 10.1016/j.jflm.2013.03.008. Epub 2013 Mar 26.
Intravenous drug injection persists despite health risks and medical complications. Venous thrombosis, septic thrombophlebitis, artery necrosis, arterio-venous fistula, mycotic aneurysm, dissecting hematoma, pseudoaneurysm formation, and soft tissues infections (i.e. abscesses, cellulitis, infected ulcers), are some of the major clinical consequences lives threatening. The aim of this work is to present this unusual autoptic case of a drug addict man died for an unrecognized groin abscess referred to the Institute of Legal Medicine, University of Chieti, causing femoral vein's erosion, and to analyse the most common patterns of vascular lesions among drug addicts. It could be stimulated a new scientific debate because groin injections and their vascular complications increase over years; while soft tissue infections may hide vascular lesions' diagnosis. So physicians should have a high index of suspicion for serious vascular problems, among intravenous drug users (IDUs): prevention for avoiding groin injection and a proper treatment are necessary.
尽管存在健康风险和医学并发症，静脉注射毒品的现象仍持续存在。静脉血栓形成、感染性血栓性静脉炎、动脉坏死、动静脉瘘、霉菌性动脉瘤、夹层血肿、假性动脉瘤形成以及软组织感染（如脓肿、蜂窝织炎、感染性溃疡），是一些危及生命的主要临床后果。这项工作的目的是呈现这一不寻常的尸检病例，一名吸毒男子因未被识别的腹股沟脓肿死亡，该病例被提交至基耶蒂大学法医学研究所，脓肿导致股静脉侵蚀，并分析吸毒者中最常见的血管病变模式。这可能引发一场新的科学辩论，因为多年来腹股沟注射及其血管并发症不断增加；而软组织感染可能掩盖血管病变的诊断。因此，医生对于静脉吸毒者（IDU）中的严重血管问题应保持高度怀疑指数：预防避免腹股沟注射以及进行适当治疗是必要的。
