Infected compartment syndrome after acupuncture.
We present a case of septicaemia and compartment syndrome of the leg in a diabetic patient, following acupuncture to his calf. An emergency decompression fasciotomy was performed on the patient and gram-positive cocci were grown from the posterior compartment wound swab cultures and group A streptococcus from his blood cultures. He remained in the Intensive Therapy Unit postoperatively, requiring inotropic support and intravenous antibiotics for his septicaemia. We would like to remind acupuncturists, to consider the possibility of heightened risks in immunocompromised patients.
Shah
Nasir
N
Institute of Orthopaedics Norfolk & Norwich, University Hospital, Norwich, UK. nasir.shah@ukgateway.net
Hing
Caroline
C
Tucker
Keith
K
Crawford
Robert
R
D015670:Acupuncture Therapy / Q000009:adverse effects*; D000328:Adult; D016470:Bacteremia / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D016867:Immunocompromised Host; D007866:Leg / Q000503:physiopathology*; D008297:Male; D010146:Pain / Q000209:etiology; D059408:Pain Management; D013290:Streptococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D013297:Streptococcus pyogenes / Q000302:isolation & purification; D013997:Time Factors