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Methicillin-Resistant Staphylococcus aureus-Induced Discitis Following Acupuncture: A Case Report
Weihang Yang1, Shuang Xia1, Liang Li1
1Department of Orthopedics, Affiliated Hospital 6 of Nantong University, The Third People's Hospital of Yancheng, Yancheng, Jiangsu, People's Republic of China.
Infection and Drug Resistance
|December 31, 2024
Summary
Acupuncture may lead to lumbar disc infections, as seen in a patient with worsening pain and elevated inflammatory markers. Prompt surgical intervention is crucial for severe cases unresponsive to antibiotics.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Medical Case Reports
Background:
- Acupuncture is a traditional therapy for back pain.
- Potential complications, including infection, require careful consideration.
Observation:
- A 43-year-old male developed severe lumbar disc infection with a paraspinal abscess after acupuncture.
- Initial conservative treatment with vancomycin failed, indicated by persistent elevated inflammatory markers and worsening infection on MRI.
- Methicillin-resistant Staphylococcus aureus (MRSA) was identified as the causative agent.
Findings:
- Elevated C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) indicated inflammation.
- Osteolysis of the L2/3 vertebral body and a psoas abscess were visualized on CT and MRI.
- Surgical intervention was necessary due to treatment failure and disease progression.
Implications:
- This case underscores the risk of discitis following acupuncture, emphasizing the need for sterile techniques.
- Standardized acupuncture protocols and vigilance for infectious complications are essential.
- Early surgical management is critical for refractory infectious discitis to prevent severe morbidity.
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