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Updated: Jul 5, 2026

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
Published on: May 16, 2025
Acupuncture-associated Listeria monocytogenes arthritis in a patient with rheumatoid arthritis
Chiung-Hsi Tien1, Guo-Shu Huang, Chi-Ching Chang
1Department of Medicine, Division of Rheumatology/Immunology and Allergy, Tri-Service General Hospital, National Defense Medical Center, No 325, Section 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, ROC.
Abstract:
Septic arthritis is a rare complication of acupuncture. We present a patient with rheumatoid arthritis who developed septic arthritis of the right knee after consecutive weekly sessions of acupuncture therapy for 3 weeks. The infection was localized by musculoskeletal sonography and magnetic resonance imaging, with culture of the synovial fluid aspirated from the joint yielding Listeria monocytogenes. The patient responded well to antibiotic treatment and regained joint mobility. A high index of suspicion for an infectious process is required for prompt diagnosis and treatment of acupuncture-induced joint infections in rheumatoid arthritis patients who might have additional risk factors for infection.
Insights
Septic arthritis is a rare risk of acupuncture. This case study shows a rheumatoid arthritis patient developing Listeria monocytogenes knee infection after acupuncture, successfully treated with antibiotics.
Area of Science:
- Rheumatology
- Infectious Diseases
- Medical Acupuncture
Background:
- Septic arthritis is a serious joint infection.
- Rheumatoid arthritis patients may have increased infection risk.
- Acupuncture is an alternative therapy with rare infectious complications.
Observation:
- A rheumatoid arthritis patient underwent weekly acupuncture for 3 weeks.
- The patient developed septic arthritis in the right knee.
- Musculoskeletal sonography and MRI confirmed the joint infection.
Findings:
- Synovial fluid culture identified Listeria monocytogenes as the causative agent.
- The patient received antibiotic treatment for the infection.
- Joint mobility was restored after successful treatment.
Implications:
- Acupuncture-induced septic arthritis is a rare but significant concern in rheumatoid arthritis patients.
- Prompt diagnosis and treatment are crucial for favorable outcomes.
- Clinicians should maintain a high index of suspicion for joint infections in patients with rheumatoid arthritis undergoing acupuncture.