Abstract
Introduction Nicolau syndrome is an extremely rare complication following intramuscular administration
of drugs leading to tissue damage and necrosis.
Case Report In this case, the patient received the injection from an untrained quack surgeon
(Jarrah) due to an improper intramuscular injection technique. A 45-year-old female complained
of pain and blackish discoloration of the skin over the left buttock after receiving
an intramuscular diclofenac injection.[4] The patient was managed by administering intravenous antibiotics and analgesics,
followed by surgical debridement. Flap reconstruction was done after granulation tissue
formation.
Conclusion Healthcare should be sought from appropriately trained and licensed professionals.
Patients should be well educated on this. Pain, erythema, and discoloration should
be recognized as red flags of the Nicolau syndrome so that it can be addressed promptly
to avoid complications.
Keywords
injection - diclofenac - Nicolau syndrome - intramuscular
