Intramuscular calcifications after quinine injections

Anna M.C Koop, Jos P.A.M Vroemen, Jennifer M.J Schreinemakers

Annals of Tropical Medicine and Public Health 2016 9(4):263-265

A 45-year-old woman presented with a painful swelling of the right leg. Twenty years previously, she suffered from malaria and was treated with intramuscular injections of pure quinine. Over the years, she noticed two solid tumors at the site of the quinine injections. Because of the pain and discomfort, we decided to excise the tumor. No evidence exists indicating how to treat dystrophic calcifications after intramuscular injections. Our advice is to consider resection if the calcifications are present for many years and cause complaints.

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