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刮痧拔罐治疗后播散性金黄色葡萄球菌感染:病例报告及文献复习。

Disseminated Staphylococcus aureus infection after scarification wet cupping therapy: a case report and literature review.

机构信息

Department of General Internal Medicine (General Practice), Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 1, Shuaifuyuan, Wangfujing St., Beijing, 100730, China.

Department of Infectious Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.

出版信息

BMC Complement Med Ther. 2023 Mar 30;23(1):94. doi: 10.1186/s12906-023-03932-x.

DOI:10.1186/s12906-023-03932-x
PMID:36997976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10061885/
Abstract

BACKGROUND

Cupping therapy is a complementary and alternative medical therapy used especially in pain management. It is generally considered a safe procedure, but complications, including life-threatening infection, may still occur. Understanding these complications is essential to safe and evidence-based use of cupping in practice.

CASE PRESENTATION

Here we report a rare case of disseminated Staphylococcus aureus infection after cupping therapy. After wet cupping, a 33-year-old immunocompetent woman developed fever, myalgia, and a productive cough accompanied by acute liver and kidney injury, iliopsoas abscess, and gastrointestinal bleeding. The patient was treated successfully with cefmetazole plus levofloxacin after microbiological and antimicrobial sensitivity testing.

CONCLUSIONS

Though rarely reported, clinicians, practitioners of cupping therapy, and patients should be aware of the risk of infection after cupping therapy. High hygiene standards are recommended for cupping therapy, even in immunocompetent individuals.

摘要

背景

拔罐疗法是一种补充和替代医学疗法,尤其用于疼痛管理。它通常被认为是一种安全的程序,但仍可能发生并发症,包括威胁生命的感染。了解这些并发症对于拔罐在实践中的安全和基于证据的使用至关重要。

病例介绍

在这里,我们报告了一例拔罐治疗后罕见的播散性金黄色葡萄球菌感染病例。一名 33 岁免疫功能正常的女性在湿拔罐后出现发热、肌痛和有痰咳嗽,伴有急性肝肾功能损伤、髂腰肌脓肿和胃肠道出血。在进行微生物学和抗菌药物敏感性试验后,该患者使用头孢美唑加左氧氟沙星成功治疗。

结论

尽管很少有报道,但临床医生、拔罐治疗从业者和患者应该意识到拔罐治疗后的感染风险。即使在免疫功能正常的个体中,也建议拔罐治疗采用高标准的卫生条件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba1d/10061885/49825e9ae455/12906_2023_3932_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba1d/10061885/49825e9ae455/12906_2023_3932_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba1d/10061885/49825e9ae455/12906_2023_3932_Fig1_HTML.jpg

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The medical perspective of cupping therapy: Effects and mechanisms of action.拔罐疗法的医学视角:作用效果与作用机制
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