Anabolic steroid-induced myositis and osteitis. Case report through a radiologic approach
Introduction: Myositis is a rare complication of extra-articular anabolic steroid injections, while osteitis has not been reported as an adverse effect from this cause. This case report provides information about imaging findings of these two entities. Case presentation: A 37-year-old male, bodybu...
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Universidad Nacional de Colombia
2020-07-01
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| Series: | Case Reports |
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| Online Access: | https://revistas.unal.edu.co/index.php/care/article/view/84717 |
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| author | Andrés Felipe Donado-Moré Enrique Calvo-Páramo |
| author_facet | Andrés Felipe Donado-Moré Enrique Calvo-Páramo |
| author_sort | Andrés Felipe Donado-Moré |
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Introduction: Myositis is a rare complication of extra-articular anabolic steroid injections, while osteitis has not been reported as an adverse effect from this cause. This case report provides information about imaging findings of these two entities.
Case presentation: A 37-year-old male, bodybuilder, presented pain and edema in the left gluteal region, associated with functional limitation, 5 days after receiving an intramuscular anabolic steroid injection (stanozolol). The man underwent an ultrasound scan and magnetic resonance imaging of the pelvis with contrast, which allowed making the diagnosis of myositis of the left gluteus maximus and osteitis of the iliac bone. The patient was treated with piperacillin-tazobactam and vancomycin for 10 days, without complications. No surgical management was required.
Conclusion: Myositis is a rare complication of anabolic steroid injections and the pathophysiological mechanism of this substance is unknown. Osteitis, on the other hand, is an even rarer complication and, to the best of our knowledge, this isthe first known case associated with this cause. Given the findings, the myositis reported herein has an infectious nature; however, further studies are required to demonstrate the actual causal association.
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| format | Article |
| id | doaj-art-e36569a95b7d4e69975fd40f8e7e52d4 |
| institution | OA Journals |
| issn | 2462-8522 |
| language | English |
| publishDate | 2020-07-01 |
| publisher | Universidad Nacional de Colombia |
| record_format | Article |
| series | Case Reports |
| spelling | doaj-art-e36569a95b7d4e69975fd40f8e7e52d42025-08-20T02:05:29ZengUniversidad Nacional de ColombiaCase Reports2462-85222020-07-016210.15446/cr.v6n2.84717Anabolic steroid-induced myositis and osteitis. Case report through a radiologic approachAndrés Felipe Donado-Moré0https://orcid.org/0000-0003-2189-8756Enrique Calvo-Páramo1https://orcid.org/0000-0002-4098-4759Hospital Universitario Nacional de Colombia - Department of Radiology and Diagnostic Imaging - Bogotá D.C. - Colombia. Universidad Nacional de Colombia - Bogotá Campus - Faculty of Medicine - Department of Diagnostic Imaging - Bogotá D.C. - Colombia.Hospital Universitario Nacional de Colombia - Department of Radiology and Diagnostic Imaging - Bogotá D.C. - Colombia. Universidad Nacional de Colombia - Bogotá Campus- Faculty of Medicine - Department of Diagnostic Imaging - Bogotá D.C. - Colombia. Introduction: Myositis is a rare complication of extra-articular anabolic steroid injections, while osteitis has not been reported as an adverse effect from this cause. This case report provides information about imaging findings of these two entities. Case presentation: A 37-year-old male, bodybuilder, presented pain and edema in the left gluteal region, associated with functional limitation, 5 days after receiving an intramuscular anabolic steroid injection (stanozolol). The man underwent an ultrasound scan and magnetic resonance imaging of the pelvis with contrast, which allowed making the diagnosis of myositis of the left gluteus maximus and osteitis of the iliac bone. The patient was treated with piperacillin-tazobactam and vancomycin for 10 days, without complications. No surgical management was required. Conclusion: Myositis is a rare complication of anabolic steroid injections and the pathophysiological mechanism of this substance is unknown. Osteitis, on the other hand, is an even rarer complication and, to the best of our knowledge, this isthe first known case associated with this cause. Given the findings, the myositis reported herein has an infectious nature; however, further studies are required to demonstrate the actual causal association. https://revistas.unal.edu.co/index.php/care/article/view/84717MyositisOsteitisSteroidsAnabolic Agents |
| spellingShingle | Andrés Felipe Donado-Moré Enrique Calvo-Páramo Anabolic steroid-induced myositis and osteitis. Case report through a radiologic approach Case Reports Myositis Osteitis Steroids Anabolic Agents |
| title | Anabolic steroid-induced myositis and osteitis. Case report through a radiologic approach |
| title_full | Anabolic steroid-induced myositis and osteitis. Case report through a radiologic approach |
| title_fullStr | Anabolic steroid-induced myositis and osteitis. Case report through a radiologic approach |
| title_full_unstemmed | Anabolic steroid-induced myositis and osteitis. Case report through a radiologic approach |
| title_short | Anabolic steroid-induced myositis and osteitis. Case report through a radiologic approach |
| title_sort | anabolic steroid induced myositis and osteitis case report through a radiologic approach |
| topic | Myositis Osteitis Steroids Anabolic Agents |
| url | https://revistas.unal.edu.co/index.php/care/article/view/84717 |
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