Polyarticular Septic Arthritis with Bilateral Psoas Abscesses following Acupuncture

@article{Ogasawara2009PolyarticularSA,
  title={Polyarticular Septic Arthritis with Bilateral Psoas Abscesses following Acupuncture},
  author={Michihiro Ogasawara and Keisuke Oda and Ken Yamaji and Yoshinari Takasaki},
  journal={Acupuncture in Medicine},
  year={2009},
  volume={27},
  pages={81 - 82}
}
We report a case of polyarticular septic arthritis with bilateral psoas abscesses. A 50-year-old woman was admitted with fever, multiple joint swelling and pain. She had a clinical history of acupuncture therapy for treatment of her chronic lower back pain two days before the appearance of her symptoms. Methicillin-sensitive Staphylococcus aureus was isolated from blood culture, knee joint fluids and psoas abscess. After a long course of antibiotics for 70 days together with drainage of the… 
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8 Citations
Highly Influential Citations
1
Background Citations
3

8 Citations

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Psoas Abscess and Acupuncture
  • A. White, M. Cummings
  • Medicine
    Acupuncture in medicine : journal of the British Medical Acupuncture Society
  • 2009
TLDR
The most common causes of secondary cases in the developed world appear to be inflammatory or neoplastic diseases of the bowel, kidney and spine, such as Crohn’s disease, diverticulitis and carcinoma.
Adverse Events of Acupuncture: A Systematic Review of Case Reports
TLDR
An evaluation of the frequency and severity of adverse events reported for acupuncture, moxibustion, and cupping between 2000 and 2011 found the majority of infections to be bacterial, caused by skin contact at acupoint sites; no cases of hepatitis were found.
Adverse events following acupuncture: A prospective survey of 13,884 consultations in a university out-patient acupuncture training clinic in Brazil
Acupuncture: Does it alleviate pain and are there serious risks? A review of reviews
Case reports on adverse effects of acupuncture and moxibustion: A review of papers published between 2007 and 2011
TLDR
Although causal relationship has not been established in some cases, occurrences of infection, organ injury, and needle breakage/foreign body are still as high as they were before, suggesting that continual feedback to acupuncturists of information on safety is necessary.
Electroacupuncture Inhibits Inflammation Reaction by Upregulating Vasoactive Intestinal Peptide in Rats with Adjuvant-Induced Arthritis
TLDR
Electroacupuncture may offer therapeutic benefits for the treatment of RA, at least partially through the induction of VIP expression, as demonstrated by an enhanced immunostaining for vasoactive intestinal peptide (VIP), a potent anti-inflammatory neuropeptide, in the synovial tissue.
Acupuncture transmitted infections
TLDR
Are underdiagnosed, so clinicians should have a high index of suspicion and be prepared to act on any signs of infection.
9 Acupuncture Transmitted Infections
TLDR
All cases and outbreaks of acupuncture transmitted infections published in the English literature in the past four decades are reviewed to highlight the importance of setting up and implementation of proper infection control guidelines.

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