Necrotizing fasciitis after acupuncture in a patient with aplastic anemia

Ru Lan Hsieh, Chien Hsien Huang, Wu Ching Uen

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives: The objective of this study was to describe a serious complication of acupuncture treatment in a high-risk patient with aplastic anemia. Design: A 44-year-old woman with aplastic anemia experienced right calf pain after running. After poor results with physical therapy, she received needle acupuncture for pain relief. However, aggravated pain with swelling of the right calf developed 2 days later. Results: On admission, she had a temperature of 38.8°C, a white blood cell count of 500/μL, and hemoglobin of 5.7g/dL. Ultrasound and computed tomography scans showed swelling of the right calf muscle fascia, and aspiration drew out Staphylococcus infection. The symptoms improved after treatment with parenteral antibiotics. Conclusions: This case illustrates that necrotizing fasciitis must be considered as a possible complication of acupuncture in high-risk patients, and that early recognition and treatment of this life-threatening soft-tissue infection must be emphasized. Extreme caution should be employed when using acupuncture for high-risk patients, such as those with aplastic anemia.

Original languageEnglish
Pages (from-to)871-874
Number of pages4
JournalJournal of Alternative and Complementary Medicine
Volume17
Issue number9
DOIs
Publication statusPublished - Sep 1 2011

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Necrotizing Fasciitis
Aplastic Anemia
Acupuncture
Pain
Acupuncture Therapy
Soft Tissue Infections
Fascia
Staphylococcus
Leukocyte Count
Needles
Hemoglobins
Therapeutics
Tomography
Anti-Bacterial Agents
Muscles
Temperature
Infection

ASJC Scopus subject areas

  • Complementary and alternative medicine

Cite this

Necrotizing fasciitis after acupuncture in a patient with aplastic anemia. / Hsieh, Ru Lan; Huang, Chien Hsien; Uen, Wu Ching.

In: Journal of Alternative and Complementary Medicine, Vol. 17, No. 9, 01.09.2011, p. 871-874.

Research output: Contribution to journalArticle

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