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| Adverse Events • Spinal Cord. 2005 Sep 6; [Epub ahead of print] |
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September 1, 2005 |
| Author / Title |
Paraplegia caused by spinal infection after acupuncture. / Bang MS, Lim SH. |
| Abstract |
Study design:Case report of a 64-year-old man with psoas abscesses, epidural abscess and spondylitis after acupuncture.Objective:To report a case of paraplegia caused by spinal infection after acupuncture.Setting:Seoul, Korea.Case report:A 64-year-old man came to an emergency room because of severe back pain. At 3 days prior to visit, the patient received acupuncture therapy to the low back with a needle about 10 cm in length because of back pain. Pain was aggravated gradually for 3 days. Escherichia coli sepsis developed with altered mentality during admission. At hospital day 9, he regained his consciousness and was found to have paraplegia. Abdominal computerized tomography (CT) and lumbar spine magnetic resonance imaging (MRI) revealed abscesses of bilateral psoas muscles and spondylitis with epidural abscess. After conservative management with intravenous administration of antibiotics, infection was controlled but the patient remained paraplegic (ASIA scale C L1 level) without neurological recovery.Conclusion:Paraplegia might result from complications of an acupuncture therapy.Spinal Cord advance online publication, 6 September 2005; doi:10.1038/sj.sc.3101819. |
| Conclusion |
Paraplegia might result from complications of an acupuncture therapy.Spinal Cord advance online publication, 6 September 2005; doi:10.1038/sj.sc.3101819. |
| Local |
1Department of Rehabilitation Medicine, College of Medicine, Seoul National University, Seoul, Korea. |
| Web |
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=16151454&query_hl=21 |
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| Adverse Events • Int J Cardiol. 2005 Sep 30;104(2):241-2. |
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September 1, 2005 |
| Author / Title |
Aortoduodenal fistula complicated by acupuncture. / Chang SA, Kim YJ, Sohn DW, Park YB, Choi YS. |
| Abstract |
Recently, acupuncture has become a common therapeutic procedure for pain control worldwide. Although it has been repeatedly reported that acupuncture is effective and safe, several serious complications were also reported. In this article, we present a case of 68-year-old man who died of massive hematemesis resulting from aortoduodenal fistula (ADF), a rare complication of acupuncture therapy. |
| Conclusion |
In this article, we present a case of 68-year-old man who died of massive hematemesis resulting from aortoduodenal fistula (ADF), a rare complication of acupuncture therapy. |
| Local |
Division of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine, 28 Yongon-dong, Chongno-gu, Seoul 110-744, Republic of Korea. |
| Web |
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=16168824&query_hl=21 |
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| Adverse Events • J Dermatol. 2005 Jun;32(6):493-6. |
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June 1, 2005 |
| Author / Title |
Erythema nodosum induced by the synergism of acupuncture therapy and flu-like infection. / Inoue T, Katoh N, Kishimoto S. |
| Abstract |
A 32-year-old female patient developed erythema nodosum-like lesions at needle prick sites after acupuncture therapy. Over the next few days, she developed similar new lesions over the extremities, trunk and face along with flu-like symptoms. There were neither genital ulcerations nor eye lesions. A skin biopsy specimen from an extremity lesion showed the characteristic findings of erythema nodosum. Treatment with oral potassium iodide at a dose of 750 mg/day was effective, and there has not been any recurrence to date. We diagnosed this case as erythema nodosum induced by a synergism between acupuncture therapy and a flu-like infection. |
| Conclusion |
We diagnosed this case as erythema nodosum induced by a synergism between acupuncture therapy and a flu-like infection. |
| Local |
Department of Dermatology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan. |
| Web |
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=16043927&query_hl=1 |
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| Adverse Events • Singapore Med J. 2004 Apr;45(4):180-2. |
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April 1, 2004 |
| Author / Title |
Necrotising fasciitis: a life-threatening complication of acupuncture in a patient with diabetes mellitus. / Saw A, Kwan MK, Sengupta S. |
| Abstract |
Acupuncture is used for some conditions as an alternative to medication or surgical intervention. Several complications had been reported, and they are generally due to physical injury by the needle or transmission of diseases. We report a case of life-threatening necrotising fasciitis that developed after acupuncture treatment for osteoarthritis of the knee in a 55-year-old diabetic woman. She presented with multiple discharging sinuses over the right knee. As the patient did not respond to intravenous antibiotics, extensive debridement was performed. She made a good recovery. Since many old diabetic patients with degenerative joint diseases may consider this mode of treatment, guidelines on cleanliness and sterility of this procedure should be developed and practiced. |
| Conclusion |
Since many old diabetic patients with degenerative joint diseases may consider this mode of treatment, guidelines on cleanliness and sterility of this procedure should be developed and practiced. |
| Local |
Department of Orthopaedic Surgery, University of Malaya Medical Centre, Kuala Lumpur 59100, Malaysia. |
| Web |
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15094988&query_hl=5 |
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| Adverse Events • Acupunct Med. 2004 Mar;22(1):29-33. |
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March 1, 2004 |
| Author / Title |
Guidelines for case reports of adverse events related to acupuncture. / Peuker E, Filler T. |
| Abstract |
Numerous case reports of adverse events of acupuncture have been published, mostly in journals which are not related to acupuncture. The authors usually have no training in acupuncture. In principle, case reports on adverse events are of value as an aid for learning. They can only achieve this effect if useful information is provided. In the case of acupuncture related adverse events and complications, basic information about the patient and the therapist as well as the treated acupuncture points and topographical regions and the needling technique are desirable. This article offers suggestions on what details should be included in a case report on adverse events related to acupuncture. |
| Conclusion |
This article offers suggestions on what details should be included in a case report on adverse events related to acupuncture. |
| Local |
|
| Web |
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15077935&query_hl=1 |
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| Adverse Events • New Microbiol. 2003 Apr;26(2):169-74. |
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March 1, 2003 |
| Author / Title |
Staphylococcus aureus subcutaneous abscess complicating acupuncture: need for implementation of proper infection control guidelines. / Woo PC, Lau SK, Wong SS, Yuen KY. |
| Abstract |
We report a case of Staphylococcus aureus subcutaneous abscess centered over the Jizhong acupuncture point (DU 6) which lies along the Du (Back midline) meridian after acupuncture at the corresponding acupuncture point for low back pain. The patient recovered after surgical debridement and drainage and 5 weeks of cloxacillin therapy. Among the 16 anecdotal case reports of pyogenic bacterial infections complicating acupuncture described in the English literature (MEDLINE Search 1996-2002), S. aureus was documented to be the causative agent in 9 (56%). Three patients had septic arthritis, 2 had chronic osteomyelitis, 2 had abscess formation, 1 had chondritis, and 1 had infective endocarditis. Five patients had S. aureus bacteremia. All patients who recovered required prolonged antibiotic treatment of 5-6 weeks, and 6 required drainage and/or debridement. Overall, 3 patients (30%) died. S. aureus causes significant morbidity and mortality in patients who receive acupuncture treatment. More resources should be spent on implementation of proper infection control guidelines, as the money lost due to prolonged hospitalization and medication would far exceed that used for implementation. |
| Conclusion |
More resources should be spent on implementation of proper infection control guidelines, as the money lost due to prolonged hospitalization and medication would far exceed that used for implementation. |
| Local |
Department of Microbiology, The University of Hong Kong, Queen Mary Hospital. |
| Web |
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12737199&query_hl=1 |
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| Adverse Events • J Clin Microbiol. 2002 Apr;40(4):1219-24. |
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April 1, 2002 |
| Author / Title |
Relatively alcohol-resistant mycobacteria are emerging pathogens in patients receiving acupuncture treatment. / Woo PC, Leung KW, Wong SS, Chong KT, Cheung EY, Yuen KY. |
| Abstract |
Acupuncture has been gaining popularity as a form of alternative medicine. In the past, only blood-borne viruses and anecdotal reports of bacterial infections have been associated with acupuncture. We report on four patients with mycobacterial infections complicating acupuncture who were encountered in a 2-year period. All had clinical and/or radiological lesions at acupuncture point- and meridian-specific locations. There was no other history of trauma or other clinical foci of infections, and the chest radiographs were normal. Histological studies of biopsy specimens of all four patients showed changes compatible with chronic inflammation, with granulomatous inflammation present in three patients and acid-fast bacilli present in two. Conventional biochemical tests and whole-cell fatty acid analysis for identification were inconclusive for all four nonpigmented mycobacteria recovered from tissue biopsies. 16S rRNA gene sequencing showed that the strains from two patients were Mycobacterium chelonae and that those from the other two were Mycobacterium nonchromogenicum. Alcohol resistance assay using the quantitative suspension test revealed that all four strains showed prolonged survival in 75% alcohol compared to other skin flora. Mycobacterial infections transmitted by acupuncture are an emerging problem. A high index of suspicion is essential to recognize this clinical syndrome, and strict implementation of proper infection control guidelines for acupuncture is mandatory. |
| Conclusion |
Alcohol resistance assay using the quantitative suspension test revealed that all four strains showed prolonged survival in 75% alcohol compared to other skin flora. Mycobacterial infections transmitted by acupuncture are an emerging problem. |
| Local |
Department of Microbiology, The University of Hong Kong, Queen Mary Hospital, Hong Kong |
| Web |
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=11923335&query_hl=1 |
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