Citation

de Oliveira RD, de Alencar RRFR, Antonio BVR, Mendonça ALT, de Miranda AAM (2019) Staphylococcemia due to Cosmetic Doping: An Important Etiology of Fever of Undetermined Origin. Clin Med Rev Case Rep 6:263. doi.org/10.23937/2378-3656/1410263

Copyright

© 2019 de Oliveira RD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/2378-3656/1410263

Staphylococcemia due to Cosmetic Doping: An Important Etiology of Fever of Undetermined Origin

Ronísie Duarte de Oliveira1*, Raquel Rodrigues Ferreira Rocha de Alencar2, Bruno Vianei Real Antonio3, André Luiz Tiúba Mendonça2 and Aryadine Allinne Machado de Miranda4

1Internal Medicine Resident, Nilton Lins Hospital (HNL), State of Amazon, Brazil

2Medicine Student, Faculty of Medicine of Federal University of Amazonas (UFAM), State of Amazon, Brazil

3Physician Graduated, Faculty of Medicine of Federal University of Amazonas (UFAM), State of Amazon, Brazil

4Rheumatologist, Municipal Health Secretary (SEMSA), State of Amazon, Brazil

Abstract

Introduction

A new problem, called cosmetic doping, has been inserted globally for some decades, and has grown in importance in Brazil in recent years, affecting athletes and non-athletes. The cosmetic doping consists in the use of oily substances by the intramuscular route to increase volumetrically the muscle, which can lead to the formation of oil deposits in the muscle, called oleomas, necrosis, physical deformities and even death.

Case description

We present a 31-year-old male patient who sought the emergency room with a complaint of daily fever for 5 months of sudden onset, intermittent character, higher temperature at night, ranging from 38 to 39 ℃, associated with weight loss of approximately 12 kg in 2 months, arthralgia and severe myalgia in deltoids, calves, and glutes, which made it impossible to walk and abduct the upper limbs. The present case report discusses the case of this patient hospitalized in the city of Manaus, state of Amazonas, Brazil, to investigate the etiology of fever of undetermined origin, later attributed to the intramuscular application of oily substances.

Conclusions

Early identification and diagnosis of this condition by the health care team is fundamental to provide a better prognosis and lesser functional damage to the affected individual.