Recurrent soft tissue infections associated with complex regional pain syndrome type ll: Reports of two unusual cases

Complex Regional Pain Syndrome (CRPS) (Synonyms: Reflex Sympathetic Dystrophy, Causalgia, Sudeck’s atrophy, Algodystrophy) is a chronic neurological condition, usually involving the limbs, that is characterized by severe pain along with sensory, autonomic, motor and trophic involvement. CRPS type ll is when there is an identifiable preceding event causing nerve damage. We present 2 unusual cases: 1. spontaneous bleeding from left leg associated with recurrent infections 2. a calcified mass in abdominal wall with recurrent infections. Recurrent soft tissue infections are rare in CRPS. Both presentations were unique.

Complex Regional Pain Syndrome in a Young Boy After Receiving a Diphtheria, Tetanus, and Acellular Pertussis Vaccine

Background: Complex regional pain syndrome (CRPS) is a clinically diagnosed multifaceted condition comprising of physical complaints often with a psychological component. CRPS can result in devastating chronic pain and disability if not treated early and aggressively. Mostly seen in adults, CRPS is being described more frequently in children. There have been some rare reports of CRPS occurring after vaccine administration. This is a case report of a young boy who developed CRPS after receiving a routine vaccination. Case Presentation: Although CRPS has been reported after rubella and hepatitis B vaccine, this is a case of CRPS after a diphtheria, tetanus, and acellular pertussis vaccine. Delays in diagnosis may cause undue pain, extended lengths of treatment, requirements for more intense therapy, and less likelihood for complete functional restoration. Because there seems to be no common constituent to the vaccines described in this case, the resultant CRPS may be purely due to injection-site trauma. Conclusion: We encourage physicians to be wary of the syndrome and its link to multiple vaccines in order to initiate prompt treatment. Key words: Complex regional pain syndrome (CRPS), reflex sympathetic dystrophy (RSD), children, vaccination, diphtheria, tetanus, acellular pertussis (TDAP)

A Case of Rapid Development of Local Post-Traumatic Osteoporosis

The article presents a clinical case of complications expressed by focal osteoporosis, developing acutely within 1 month and the complexity of the choice of treatment tactics in elderly patients. The choice of conservative management of the patient under discussion is associated with the primary inadequate management tactics at the place of residence, late treatment, probable reflex sympathetic dystrophy in the area of the fragments and, despite this, the beginning of the consolidation of the fragments.The reasoned tactics of conservative treatment led to an individual, relatively satisfactory outcome.