Department of Physical Medicine and Rehabilitation, Shin Kong Wo Ho-Su Memorial Hospital, Taipei Medical University, Taipei, Taiwan.
J Altern Complement Med. 2011 Sep;17(9):871-4. doi: 10.1089/acm.2010.0617.
The objective of this study was to describe a serious complication of acupuncture treatment in a high-risk patient with aplastic anemia.
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.
On admission, she had a temperature of 38.8°C, a white blood cell count of 500/μL, and hemoglobin of 5.7 g/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.
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.
本研究旨在描述一位再生障碍性贫血高危患者接受针刺治疗后出现的严重并发症。
一名 44 岁女性因再生障碍性贫血在跑步后出现右小腿疼痛。物理治疗效果不佳后，她接受了针刺治疗以缓解疼痛。但 2 天后右小腿疼痛加剧并肿胀。
入院时，患者体温为 38.8°C，白细胞计数为 500/μL，血红蛋白为 5.7g/dL。超声和计算机断层扫描显示右小腿肌肉筋膜肿胀，抽吸物抽出金黄色葡萄球菌感染。经静脉用抗生素治疗后症状改善。
本例说明，对于高危患者（如再生障碍性贫血患者），针刺治疗后必须考虑发生坏死性筋膜炎的可能，必须强调早期识别和治疗这种危及生命的软组织感染。对于再生障碍性贫血等高危患者，使用针刺时应格外小心。
