Paraspinal muscle abscess after Chinese Kong Fu practitioner manipulation--a case report.

Paraspinal infection is a rare condition. Modes of infection include transcutaneous infection of the deep tissue by needles or catheters, surgery, blunt trauma, and hematogenous spread from distant sites. Chiropractic manipulation is a noninvasive procedure but is sometimes associated with vascular or neurologic insults resulting in hematoma or cerebrovascular accidents. We report a paraspinal muscle abscess in a healthy young man 7 days after Chinese Kong Fu practitioner manipulation for back pain without definite infection sources. The local paraspinal tenderness as demonstrated by the patient should be considered to be a sign of infection. Paraspinal infection often subjects to delayed diagnosis and this delay may be disastrous. In the management of low back pain or treating spinal disorders, physicians should be aware of the possibility of such a condition particularly in patients whose back pain has been managed with chiropractic manipulation to avoid misdiagnosis.