A Pericatheter Abscess Following Acupuncture in a Patient With VP Shunt

El Kim1

  • 1Department of Neurosurgery, Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.

Insights

A rare pericatheter abscess formed after scalp acupuncture in a patient with a history of hydrocephalus. Prompt treatment involving debridement and antibiotics led to recovery, highlighting the need for infection control in acupuncture practices.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Alternative Medicine

Background:

  • A 25-year-old woman with a history of meningitis and hydrocephalus, treated with a ventriculoperitoneal shunt, underwent scalp acupuncture for a subgaleal hematoma.
  • Scalp acupuncture is an alternative therapy increasingly used for various conditions.

Observation:

  • The patient developed a pericatheter abscess in the lateral neck.
  • Clinical examination revealed a retained catheter associated with the abscess.

Findings:

  • The abscess was successfully treated with radical debridement, cavity irrigation, and catheter removal.
  • Culture of the abscess drainage identified *Staphylococcus aureus* as the causative agent.
  • The patient recovered following appropriate antibiotic therapy.

Implications:

  • This case underscores the risk of serious infections, including pericatheter abscesses, associated with acupuncture.
  • Highlights the importance of sterile techniques and careful monitoring during and after acupuncture procedures.
  • Emphasizes the need for increased vigilance regarding potential complications of alternative medicine modalities.