15th February 2025

A 32-year-old woman is brought to A&E by a friend.

A 32-year-old woman is brought to A&E by a friend. She is restless and anxious to go home. She reports feeling like insects crawling under her skin. 

On examination, there are signs of self-neglect and mydriasis. On inspection of the skin, you note puncture marks in the left antecubital fossa. 

Which of the following is a rare complication of the presentation above? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.