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A. Robinson, C. R.P. Lind, R. J. Smith, V. Kodali
Research output: Contribution to journal › Article › peer-review
A 67-year-old man presented with neck cellulitis following acupuncture for cervical spondylosis. Blood cultures were positive for methicillin-sensitive Staphylococcus aureus. Increased neck pain and bacteraemia prompted MRI, which showed atlanto-axial septic arthritis without signs of infection of the tissues between the superficial cellulitic area and the atlantoaxial joint, thus making direct extension of infection unlikely. It is more likely that haematogenous spread of infection resulted in seeding in the atlanto-axial joint, with the proximity of the arthritis and acupuncture site being coincidental. Acupuncture is a treatment option for some indolent pain conditions. As such, acupuncture services are likely to be more frequently utilised. A history of acupuncture is rarely requested by the admitting doctor and seldom offered voluntarily by the patient, especially where the site of infection due to haematogenous spread is distant from the needling location. Awareness of infectious complications following acupuncture can reduce morbidity through early intervention.
Original language | English |
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Article number | A1783 |
Journal | BMJ Case Reports |
Volume | 2015 |
DOIs | |
Publication status | Published - 11 Dec 2015 |
Research output: Contribution to journal › Article › peer-review
Research output: Contribution to journal › Comment/debate › peer-review