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拔火罐治疗后颅内真菌性动脉瘤破裂

Intracranial mycotic aneurysm rupture following cupping therapy.

作者信息

Dai Monami, Suzuki Kaima, Sato Hiroki, Tabata Shinya, Kume Haruka, Nishikata Masaya, Tamada Keita, Ooigawa Hidetoshi, Kurita Hiroki

机构信息

Department of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.

出版信息

Surg Neurol Int. 2024 Apr 5;15:119. doi: 10.25259/SNI_99_2024. eCollection 2024.

DOI:10.25259/SNI_99_2024
PMID:38742002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11090582/
Abstract

BACKGROUND

Cupping therapy is an alternative treatment that uses a small glass cup to suck the skin with a needle and has been used to manage skin problems and pain. However, serious complications have been reported. Herein, we describe a case of intracranial mycotic aneurysm rupture after cupping therapy.

CASE DESCRIPTION

A 25-year-old male patient presented with a headache and fever after cupping therapy for atopic dermatitis. He was diagnosed with infective endocarditis, and antibiotic therapy was initiated. After that, he suddenly lost consciousness, and head imaging revealed a cerebral hemorrhage due to a ruptured intracranial mycotic aneurysm. He underwent craniotomy, which was successful, and he was transferred to a rehabilitation center with a modified Rankin scale score of 2 at three months post-stroke.

CONCLUSION

This case serves as a reminder of life-threatening infectious complication risks after cupping therapy. A patient who has a compromised skin barrier may experience serious adverse effects, especially when cupping is performed without implementing suitable infection prevention measures.

摘要

背景

拔罐疗法是一种替代疗法,使用小玻璃杯通过针具吸附皮肤,已被用于治疗皮肤问题和疼痛。然而,已有严重并发症的报道。在此,我们描述一例拔罐疗法后颅内真菌性动脉瘤破裂的病例。

病例描述

一名25岁男性患者在因特应性皮炎接受拔罐疗法后出现头痛和发热。他被诊断为感染性心内膜炎,并开始接受抗生素治疗。此后,他突然失去意识,头部影像学检查显示因颅内真菌性动脉瘤破裂导致脑出血。他接受了开颅手术,手术成功,中风后三个月时,他以改良Rankin量表评分为2被转至康复中心。

结论

该病例提醒人们注意拔罐疗法后危及生命的感染性并发症风险。皮肤屏障受损的患者可能会出现严重不良反应,尤其是在进行拔罐时未采取适当的感染预防措施的情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6f5/11090582/81ed874fcd14/SNI-15-119-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6f5/11090582/0a4e0f6bb480/SNI-15-119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6f5/11090582/81ed874fcd14/SNI-15-119-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6f5/11090582/0a4e0f6bb480/SNI-15-119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6f5/11090582/81ed874fcd14/SNI-15-119-g002.jpg

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Surg Neurol Int. 2024 Apr 5;15:119. doi: 10.25259/SNI_99_2024. eCollection 2024.
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本文引用的文献

1
Disseminated Staphylococcus aureus infection after scarification wet cupping therapy: a case report and literature review.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。
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Necrotizing Fasciitis Following Wet Cupping: A Case Report.拔火罐后发生坏死性筋膜炎:一例报告
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Cervical Artery Dissection Caused by Electrical Cupping Therapy with High-Negative Pressure - Case Report.
电负压拔罐致颈内动脉夹层 - 病例报告。
J Stroke Cerebrovasc Dis. 2020 Nov;29(11):105207. doi: 10.1016/j.jstrokecerebrovasdis.2020.105207. Epub 2020 Aug 7.
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Septic arthritis of the knee caused by cupping (Hijama).拔火罐(希贾马)导致的膝关节化脓性关节炎。
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Infective Endocarditis Associated with Atopic Dermatitis.与特应性皮炎相关的感染性心内膜炎。
Int Heart J. 2018 Mar 30;59(2):420-423. doi: 10.1536/ihj.17-078. Epub 2018 Mar 20.
6
Clinical Characteristics and Surgical Treatment of Infective Endocarditis With Bicuspid Aortic Valve.二叶式主动脉瓣感染性心内膜炎的临床特征与外科治疗
Int Heart J. 2017 Apr 6;58(2):220-224. doi: 10.1536/ihj.16-284. Epub 2017 Mar 27.
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Extracranial vertebral artery rupture likely secondary to "cupping therapy" superimposed on spontaneous dissection.颅外椎动脉破裂可能继发于“拔罐疗法”叠加自发性夹层形成。
Interv Neuroradiol. 2016 Dec;22(6):728-731. doi: 10.1177/1591019916659264. Epub 2016 Aug 1.
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Cupping Therapy May be Harmful for Eczema: A PubMed Search.拔罐疗法可能对湿疹有害:一项PubMed检索
Case Rep Pediatr. 2013;2013:605829. doi: 10.1155/2013/605829. Epub 2013 Oct 27.
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Med Mal Infect. 2013 Dec;43(11-12):443-50. doi: 10.1016/j.medmal.2013.09.010. Epub 2013 Nov 9.
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