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Atlanto-axial infection after acupuncture
A Robinson1, C R P Lind2, R J Smith1
1Department of Medicine, Geraldton Regional Hospital, Geraldton, Western Australia, Australia.
Summary
Acupuncture for cervical spondylosis led to Staphylococcus aureus septic arthritis. Infection likely spread through the bloodstream, not direct contact, highlighting rare but serious complications.
Area of Science:
- Infectious Diseases
- Orthopedics
- Complementary Medicine
Background:
- Acupuncture is increasingly used for chronic pain conditions like cervical spondylosis.
- Infectious complications following acupuncture are rare but can be severe.
- Prompt diagnosis and intervention are crucial for managing these infections.
Observation:
- A 67-year-old man developed neck cellulitis after acupuncture.
- Blood cultures revealed methicillin-sensitive Staphylococcus aureus.
- MRI showed atlanto-axial septic arthritis, with no direct tissue extension from the cellulitis.
Findings:
- The patient's atlanto-axial septic arthritis was likely caused by hematogenous spread of Staphylococcus aureus.
- The proximity of the acupuncture site to the joint infection was considered coincidental.
- Direct extension from the superficial cellulitis to the joint was deemed unlikely.
Implications:
- Clinicians should consider acupuncture as a potential, albeit rare, source of infection, even when the infection site is distant from the needling site.
- A thorough patient history, including recent acupuncture use, is vital for accurate diagnosis.
- Increased awareness of infectious complications can lead to earlier detection and improved patient outcomes.
