[Intra-muscular injections and post-injectional paralysis. 18 cases].

The study of 264 lower limbs paralysis recorded from 1988 to 1990 in 6 Physiotherapy Centers in Madagascar showed that 66% has received prior intra-muscular injections. Among those, 10.2% could be diagnosed as post injectional paralysis and quinine was responsible in 73%. Defining a national policy on the use of the intra-muscular injections, training medical workers and improving the access to oral and intra-rectal drugs could help to decrease the frequency of those complications spirochetes and other infections (43).