Document Detail

Paraplegia caused by spinal infection after acupuncture.
MedLine Citation:
PMID:  16151454     Owner:  NLM     Status:  MEDLINE    
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.
M S Bang; S H Lim
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spinal cord     Volume:  44     ISSN:  1362-4393     ISO Abbreviation:  Spinal Cord     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-04-05     Completed Date:  2006-06-08     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  258-9     Citation Subset:  IM    
Department of Rehabilitation Medicine, College of Medicine, Seoul National University, Seoul, Korea.
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MeSH Terms
Acupuncture Analgesia / adverse effects*,  instrumentation
Anti-Bacterial Agents / therapeutic use
Colon / injuries
Equipment Contamination / prevention & control
Escherichia coli Infections / complications*
Lumbar Vertebrae / microbiology,  pathology,  radiography
Magnetic Resonance Imaging
Middle Aged
Needles / adverse effects,  microbiology
Osteomyelitis / complications,  diagnosis,  microbiology
Paraplegia / diagnosis,  microbiology*,  physiopathology
Psoas Abscess / complications,  diagnosis,  microbiology
Shock, Septic / microbiology
Spinal Cord / pathology,  physiopathology,  radiography
Spinal Cord Compression / diagnosis,  microbiology*,  physiopathology
Spondylitis / complications*,  diagnosis,  microbiology*
Tomography, X-Ray Computed
Treatment Outcome
Reg. No./Substance:
0/Anti-Bacterial Agents

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