| Abstract: The patient, a 23 years old woman to commit suicide, has attempted to inject 5cc thinner to the anterior
part of the left forearm and 5cc to the upper portion of the sternum.In physical exam of the anterior part of the
forearm, the anterior part of the elbow joint was warm, erythematous and tender. Anterior- posterior part of the
sternum was tender and warm too. On the third day of hospitalization, despite receiving antibiotics, the patient's
symptoms had not improved and Increase in liver enzymes was observed. As previous study, the thinner is a
hepatotoxic agent and it cause fat necrosis of the vessel wall at the injection site. Thinner Based on our findings and
previous reports is a hepatotoxic substance and causes localized damage and vascular necrosis. Thus, in the first
hours after injection, it should be surgically debrided. Thinner local infiltration would increase erthrocyte
sedimentation rate (ESR) top to 100 and leukocytosis with the left shift at the injection site, and also mimics the
bacterial cellulitis symptoms. Despite that it does not respond to antibiotic treatment. |