Secondary Gluteal Abscess as Low Back Pain after Intramuscular Injection

Abstract

Intramuscular injection is a common procedure performed in healthcare settings. Improper technique of injection could expose patient to severe complications. I would like to present a case of secondary gluteal abscess as differential diagnosis of back pain resulting from administration of intramuscular injections on dorsogluteal region. The abscess triggered unresolved high grade fever and severe backache which was not relieved by any painkiller medications. The gluteal mass was red, warm and tender on palpation. Blood test showed elevated white blood cell count. Needle aspiration was done on gluteal abscess and the specimen was sent for culture and sensitivity test. Then, the patient was treated with the most sensitive antibiotic after the result of culture and sensitivity test. Hence, greater awareness on sterile practice of intramuscular injection should be instilled among healthcare workers to minimize this complication.