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Paraplegia caused by spinal infection after acupuncture

Cited 27 time in Web of Science Cited 32 time in Scopus
Authors
Bang, M S; Lim, S H
Issue Date
2005-09-10
Publisher
Nature Publishing Group
Citation
Spinal Cord. 2006 Apr;44(4):258-9
Keywords
Acupuncture Analgesia/*adverse effects/instrumentationAnti-Bacterial Agents/therapeutic useColon/injuriesEquipment Contamination/prevention & controlEscherichia coli Infections/*complicationsHumansLumbar Vertebrae/microbiology/pathology/radiographyMagnetic Resonance ImagingMaleMiddle AgedNeedles/adverse effects/microbiologyOsteomyelitis/complications/diagnosis/microbiologyParaplegia/diagnosis/*microbiology/physiopathologyPsoas Abscess/complications/diagnosis/microbiologyShock, Septic/microbiologySpinal Cord/pathology/physiopathology/radiographySpinal Cord Compression/diagnosis/*microbiology/physiopathologySpondylitis/*complications/diagnosis/*microbiologyTomography, X-Ray ComputedTreatment Outcome
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.
ISSN
1362-4393 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16151454

http://hdl.handle.net/10371/15982
DOI
https://doi.org/10.1038/sj.sc.3101819
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Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Rehabilitation Medicine (재활의학전공)Journal Papers (저널논문_재활의학전공)
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