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Published on: October 14, 2022
A Pericatheter Abscess Following Acupuncture in a Patient With VP Shunt
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.
Abstract:
We report a rare case of pericatheter abscess formation after scalp acupuncture in a 25-year-old woman who had a history of meningitis and hydrocephalus, which were treated using ventriculoperitoneal shunt placement at the age of 5 years. Prior to the current hospitalization, the patient received acupuncture therapy for a subgaleal hematoma. Clinical and laboratory examinations revealed a retained catheter and an associated abscess in the lateral neck. The abscess was immediately treated with radical debridement, washing of the cavity, and removal of the implant. Culture studies of the pus drainage yielded Staphylococcus aureus. The patient recovered well after active antibiotic treatment. Considering the increasing application of this alternative medicine modality by practitioners, careful interventions are required to minimize acupuncture-related infections and other serious complications.
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