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[Toxic shock-like syndrome after acupuncturation]

K Harada1, T Suzuki, A Suzuki

  • 1Department of Internal Medicine, Kawasaki Municipal Hospital.

Kansenshogaku Zasshi. the Journal of the Japanese Association for Infectious Diseases
|December 12, 1997
PubMed
Summary

Acupuncture may have caused a severe streptococcal infection, leading to toxic shock-like syndrome (TSLS) and necrotizing fasciitis in an 80-year-old man. Treatment involved leg amputation and antibiotics.

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Area of Science:

  • Infectious Diseases
  • Dermatology
  • Critical Care Medicine

Background:

  • Acupuncture is a traditional Chinese therapy used for various conditions, including intermittent claudication.
  • Infections can arise from invasive procedures, necessitating careful monitoring for complications.

Observation:

  • An 80-year-old male presented with severe left lower leg pain and swelling following weekly acupuncture treatments.
  • Clinical presentation included diffuse swelling, redness, blisters, necrotizing superficial fasciitis, and shock.

Findings:

  • The patient was diagnosed with toxic shock-like syndrome (TSLS) and group A streptococcus infection.
  • Cultures from skin blisters and necrotic fascia confirmed the presence of Streptococcus pyogenes.
  • Recovery was achieved through left leg amputation and antibiotic therapy.

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Implications:

  • This case highlights the potential risk of iatrogenic streptococcal infection following acupuncture.
  • Early recognition and aggressive management, including surgical intervention, are crucial for TSLS and necrotizing fasciitis.
  • Practitioners should be vigilant about aseptic techniques during acupuncture to prevent serious complications.