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Journal of The Korean Society of Emergency Medicine 2025;36(5): 209-212. |
| 프랄리독심 자동주사기에 의해 발생한 손가락의 구획증후군 |
하유라1,2
, 정진우1,3
, 정성윤4
, 심정용5
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1동아대학교병원 응급의학과
2동아대학교 대학원 의학과
3동아대학교 의과대학 응급의학교실
4동아대학교 의과대학 정형외과학교실
5대한민국 육군 제2작전사령부 제53보병사단 |
| A case of compartment syndrome of the finger due to the accidental injection of a pralidoxime auto-injector |
| You Ra Ha1,2
, Jinwoo Jeong1,3
, Sung Yoon Jung4
, Jeong Yong Sim5
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1Department of Emergency Medicine, Dong-A University Hospital, Busan, Korea
2Department of Medicine, Graduate School, Dong-A University, Busan, Korea
3Department of Emergency Medicine, College of Medicine, Dong-A University, Busan, Korea
4Department of Orthopedics, College of Medicine, Dong-A University, Busan, Korea
5The Second Operations Command, 53rd Infantry Division, the Republic of Korea Army, Busan, Korea |
| Correspondence |
Jinwoo Jeong ,Tel: 051-240-5590, Fax: 051-240-5309, Email: jinwoo@dau.ac.kr,
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Received: May 15, 2024; Revised: October 10, 2024 Accepted: October 10, 2024. Published online: October 30, 2025. |
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| ABSTRACT |
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A high-pressure injection injury occurs when material is injected into a body part by equipment with sufficient pressure. The authors present a case of a high-pressure injection injury caused by the KMARK-1 kit, resulting in compartment syndrome. A 26-year-old man presented to the emergency department with pain in his right index finger. The symptoms occurred after he was punctured by the KMARK-1 pralidoxime auto-injector during reservist training. Compartment syndrome was suspected, and a fasciotomy was performed three hours later to decompress and release the compartment. The patient completed the treatment without complications four months after the injury. All reported cases of finger high-pressure injection injury due to pralidoxim auto-injectors have been unintentional, and conservative treatment alone has led to recovery. In the present case, compartment syndrome occurred, and skin necrosis progressed after fasciotomy. Therefore, careful evaluation from the outset is necessary in cases of injury caused by pralidoxime auto-injectors. |
| Key words:
Pralidoxime compounds; Compartment syndromes; Injection site reaction; Antidotes; Fascio |
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