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Infected compartment syndrome after acupuncture
Nasir Shah1, Caroline Hing, Keith Tucker
1Institute of Orthopaedics Norfolk & Norwich, University Hospital, Norwich, UK. nasir.shah@ukgateway.net
Acupuncture in Medicine : Journal of the British Medical Acupuncture Society
|September 10, 2002
Summary
A diabetic patient developed severe leg infection and compartment syndrome after acupuncture. Prompt surgery and antibiotics were required, highlighting risks in immunocompromised individuals undergoing acupuncture.
Area of Science:
- Infectious Diseases
- Surgical Complications
- Diabetic Foot Complications
Background:
- Acupuncture is a common complementary therapy.
- Diabetic patients may have compromised immune function.
- Infection is a potential risk of invasive procedures.
Observation:
- A case of septicaemia and compartment syndrome in the leg of a diabetic patient following calf acupuncture.
- Emergency decompression fasciotomy was performed.
- Gram-positive cocci and Group A Streptococcus were identified.
Findings:
- The patient required intensive care unit (ICU) admission for inotropic support and intravenous antibiotics.
- Postoperative wound cultures grew gram-positive cocci.
- Blood cultures confirmed Group A Streptococcus septicaemia.
Implications:
- Acupuncturists should be aware of increased risks in immunocompromised patients, particularly diabetics.
- Early recognition and surgical intervention are crucial for managing post-acupuncture infections.
- This case underscores the importance of sterile techniques and patient selection in acupuncture practice.