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• Spinal epidural abscess post-ureteroscopy: a case report
  Stephanie N. Washington, David D. Kim, Luke F. Reynolds
  BMC Urology.2025;[Epub]     CrossRef
• Acute Paraplegia Caused by Spinal Epidural Empyema Following Infectious Cellulitis of the Hand: Case Report and Literature Review
  Breno Nery, Cláudio Brandão Filho, Lucas Nunes, Eduardo Quaggio, Fred Bernardes Filho, Joaquim Alencar Neto, Layssa Rhossana Melo, Anna Carolyne Oliveira, Rafael Rabello, Victoria Rodrigues Durand, Rayssa Rocha Silva, Rafael Emmanuel Costa, José Alencar S
  Journal of Neurological Surgery Reports.2024; 85(02): e29.     CrossRef

Diagnoses of pyelonephritis caused by Staphylococcus aureus should be accompanied by investigations of concomitant bladder obstruction and metastatic infections, especially to the spine or heart. Complicated pyelonephritis due to S. aureus requires more than 2 weeks of antibiotics, which is the typically recommended treatment duration for pyelonephritis. We describe a patient who was diagnosed with complicated epidural and paraspinal abscesses after insufficient evaluation and treatment of acute pyelonephritis due to S. aureus. A 62-year-old man with type 2 diabetes was admitted with fever, increased urinary frequency, and left flank pain. He was diagnosed with acute pyelonephritis caused by S. aureus. His fever and flank pain subsided after 3 days of intravenous antibiotics. Evaluation of bladder obstruction and metastatic infection were not performed, as he declined further evaluation. The patient was discharged with oral antibiotics and was requested to attend weekly appointments but was lost to follow-up. One month later, the patient presented at the outpatient clinic with similar symptoms. Computed tomography showed recurrent pyelonephritis and a distended bladder. His flank pain persisted despite administration of an opioid agent. Therefore, magnetic resonance imaging was performed, revealing epidural and paraspinal abscesses. Ultrasound-guided aspiration of the paraspinal muscle layer was performed, and blood and percutaneous aspirated fluid cultures revealed S. aureus growth. The pattern of antimicrobial sensitivity was identical to that at his first admission. Following more than 4 weeks of antibiotics, magnetic resonance imaging showed the abscesses had decreased in size. The patient was discharged without neurologic sequelae and was provided with oral antibiotics.

Citations

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• A Case Presenting with a Paraspinal Muscle Abscess Complicated by Suspected Iodoform Poisoning During Treatment
  Shunya Tamamine, Atsuyuki Kuro, Masayuki Nakano, Shuhei Matsunami, Hiroaki Sakurai, Sakurako Kunieda, Kenji Suzuki, Natsuko Kakudo
  International Journal of Surgical Wound Care.2025;[Epub]     CrossRef
• Spinal epidural abscess due to acute pyelonephritis
  Gianluca Scalia, Salvatore Marrone, Federica Paolini, Paolo Palmisciano, Giancarlo Ponzo, Massimiliano Giuffrida, Massimo Furnari, Domenico Gerardo Iacopino, Giovanni Federico Nicoletti, Giuseppe Emmanuele Umana
  Surgical Neurology International.2022; 13: 159.     CrossRef
• Primary Spinal Epidural Abscesses Not Associated With Pyogenic Infectious Spondylodiscitis: A New Pathogenetic Hypothesis
  Lorenzo Magrassi, Marco Mussa, Andrea Montalbetti, Marta Colaneri, Angela di Matteo, Antonello Malfitano, Anna Maria Simoncelli, Maria Grazia Egitto, Claudio Bernucci, Enrico Brunetti
  Frontiers in Surgery.2020;[Epub]     CrossRef

Acupuncture treatment is generally regarded as a relatively safe procedure. However, most procedures have some complications and acupuncture treatment is no exception. Reported complications of acupuncture treatment were mostly mild or temporary symptoms, but certain severe adverse effects were also observed. We report here for the first time a case of liver abscess following acupuncture and moxibustion treatment.

Citations

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• Giant liver abscess with Streptococcus intermedius bacteremia treated without any drainage
  Yo Ishihara, Sayaka Kaneshiro, Yasukazu Ikehara
  IDCases.2023; 31: e01662.     CrossRef
• Publication status and reporting quality of case reports on acupuncture-related adverse events: A systematic reviews of case studies
  Tae-Hun Kim, Myeong Soo Lee, Stephen Birch, Terje Alræk, Arne Johan Norheim, Jung Won Kang
  Heliyon.2023; 9(10): e20577.     CrossRef
• A Case of Multiple Abscesses with Methicillin-resistant Staphylococcus Aureus Bacteremia following Acupuncture
  Yoshiyuki SHIROUZU, Shozo FUJIWARA, Katsuhiro ANAMI, Fumihiko FUJITA, Yoshito AKAGI
  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2021; 82(2): 478.     CrossRef
• Liver Abscess due to Streptococcus constellatus in an Immunocompetent Adult: A Less Known Entity
  Srujana Mohanty, Manas Kumar Panigrahi, Jyotirmayee Turuk, Sagarika Dhal
  Journal of the National Medical Association.2018; 110(6): 591.     CrossRef
• Literature Review on Adverse Events (2012-2015) associated with Acupuncture and Moxibustion
  Nobutatsu FURUSE, Akihito UEHARA, Masaaki SUGAWARA, Toshiya YAMAZAKI, Hisashi SHINBARA, Hitoshi YAMASHITA
  Zen Nihon Shinkyu Gakkai zasshi (Journal of the Japan Society of Acupuncture and Moxibustion).2017; 67(1): 29.     CrossRef
• The Reporting Quality of Acupuncture-Related Infections in Korean Literature: A Systematic Review of Case Studies
  Tae-Hun Kim, Jung Won Kang, Wan-Soo Park
  Evidence-Based Complementary and Alternative Medicine.2015; 2015: 1.     CrossRef
• Safety of Moxibustion: A Systematic Review of Case Reports
  Ji Xu, Hongyong Deng, Xueyong Shen, Cheng Ke
  Evidence-Based Complementary and Alternative Medicine.2014;[Epub]     CrossRef