Teaching NeuroImages: multiple epidural abscesses after acupuncture

Neurology. 2013 Apr 9;80(15):e169. doi: 10.1212/WNL.0b013e31828c2f1d.

Abstract

An 80-year-old woman presented with 2 days of progressive quadriparesis, difficulty voiding, and fever. She had received acupuncture in the cervical and lumbar regions for 5 days beginning a week before. Whole-spine MRI showed multiple epidural abscesses at levels C3-7, L3-5, and L5-S1 (figure). Broad-spectrum antibiotics were administered, and the abscesses were surgically drained. Strains of Staphylococcus aureus were isolated. Single epidural abscesses after acupuncture have been reported, but multiple abscesses due to acupuncture are extremely rare.1,2

Publication types

  • Case Reports

MeSH terms

  • Acupuncture Therapy / adverse effects*
  • Aged, 80 and over
  • Epidural Abscess / complications
  • Epidural Abscess / diagnosis
  • Epidural Abscess / etiology*
  • Female
  • Humans
  • Magnetic Resonance Imaging*
  • Quadriplegia / therapy*
  • Spinal Cord / pathology
  • Spinal Cord Compression / complications
  • Spinal Cord Compression / etiology*
  • Staphylococcus aureus / pathogenicity