First Reported Case of Methicillin-ResistantStaphylococcus aureusVertebral Osteomyelitis with Multiple Spinal and Paraspinal Abscesses Associated with Acupuncture

Abstract

Acupuncture is one of the oldest medical procedures in the world and originated in China about 2,000 years ago. Acupuncture is a form of complementary medicine and has gained popularity worldwide in the last few decades. It is mainly used for the treatment of chronic pain. Acupuncture is usually considered a safe procedure but has been reported to cause serious complications including death. It has been associated with transmission of many viruses and bacteria. Two cases of Methicillin-Resistant Staphylococcus aureus have been reported recently following acupuncture therapy. We are reporting a case of a 57-year-old Korean female who developed vertebral osteomyelitis and intraspinal and paraspinal abscesses as a complication of acupuncture. Blood cultures, skin lesion culture, and body fluid culture yielded Methicillin-Resistant Staphylococcus aureus (MRSA). Good anatomical and medical knowledge, good hygiene standards, and proper acupuncture techniques should be followed to prevent the complications. Acupuncturists should consistently review the infection control guidelines to acupuncture. This case should raise awareness of such condition and hazards of presumably benign procedures such as acupuncture.

Staphylococcus aureus Bacteremia from Diffuse Muscular Infection Following Acupuncture Visualized by 18F-FDG PET/CT and MRI

“…The patient was discharged after eight weeks of iv antibiotic treatment with another eight weeks of oral antibiotics for ambulant follow-up with the department for infectious diseases and municipal physiotherapy. Both local and systemic infections following acupuncture have been reported previously with different organ manifestations and the causative microorganism is most commonly Staphylococcus aureus [ 1 , 2 , 3 ]. With the widespread use of acupuncture for very different medical conditions in settings with no supervision or hygiene regulation, the use of this procedure should be investigated in cases with systemic infection or in cases with several infectious loci, especially when the imaging does not match the initial diagnosis.…”