Ayurvedic management of Nicolau Syndrome W.S.R to Agantuja Vidhradhi and Kotha – A case report
DOI:
https://doi.org/10.70066/jahm.v13i6.1824Keywords:
Agantuja Vidhradhi, Bhedana Karma, Chedana Karma, Kotha, Nicolau syndrome, Case reportAbstract
Introduction: Injection therapy is a part of general clinical practice in today’s life by doctors. Sometimes, unanticipated outcomes of injection therapy are seen in the clinical practice Nicolau syndrome (NS) is one such rare cutaneous adverse reaction found at the site of injection. Freudenthal and Nicolau first explained it as a side effect of the bismuth salts used to treat syphilis in 1924 and 1925, respectively.
Patient information: A 38-year-old male presented with complaints of mild fever and discolouration of skin over left gluteal region later turned into necrosis of skin.
Therapeutic intervention: The case was diagnosed as Nicolau syndrome according to modern science and Agantuja vidhradhi as per Ayurveda progressing to Kotha. The case was treated successfully with Bhedana Karma and Chedan Karma followed by Vrana Shodhana, Ropana Chikitsa, and oral medications.
Results: The wound was completely healed with mild contracture in 42 days.
Conclusions: NS can be managed successfully with Ayurveda treatment but there is a need to exercise utmost care during the administration of any injection therapy and awareness about this condition
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