0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

TRANSVERSE MYELITIS AND PENICILLIN

JOSEPH BORENSTINE, MD
Am J Dis Child. 1966;112(2):166-167. doi:10.1001/archpedi.1966.02090110110019.
Text Size: A A A
Published online

ABSTRACT

To the Editor: I have just finished reading an article in the Journal, entitled "Accidental Intra-Arterial Injection of Penicillin" by John A. Knowles, MD, (Amer J Dis Child 111:552-556, 1966). In the body of this article it is postulated that a dose of penicillin was accidently injected into an artery in the gluteal region of a baby causing tissue slough and scarring. In view of the known great irritability of arteriolar musculature to both tactile and chemical stimulation, I would like to suggest that it is almost impossible to inject material intra-arterially except by directly exposing the artery and inserting an instrument into the lumen under direct vision.

Three years ago we had a similar experience following the injection of penicillin into the antero-lateral aspect of the thigh of a 7-year-old boy. We subsequently realized that the pathological findings in this incident could have been caused purely by arterial spasm

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();