Acute limb ischemia secondary to myositis-induced compartment syndrome in a patient with human immunodeficiency virus infection

J Vasc Surg. 2003 May;37(5):1103-5. doi: 10.1067/mva.2003.179.


Myositis, while uncommon, develops more frequently in patients with human immunodeficiency virus infection. We report a case of acute lower leg ischemia caused by myositis in such a patient. Urgent four-compartment fasciotomy of the lower leg was performed, which decompressed the compartmental hypertension and reversed the arterial ischemia. This case underscores the importance of recognizing compartment syndrome as a cause of acute limb ischemia.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Compartment Syndromes / etiology*
  • Compartment Syndromes / surgery
  • HIV Infections / complications*
  • HIV Infections / surgery
  • Humans
  • Ischemia / etiology*
  • Ischemia / surgery
  • Leg / blood supply*
  • Leg / surgery
  • Male
  • Middle Aged
  • Myositis / complications*
  • Myositis / surgery
  • Vascular Surgical Procedures