침술 이후 발생한 심경부 감염과 척수 농양 1예
A Case of Deep Neck Infection and Spinal Cord Abscess Related With Acupuncture
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A 66-year-old male patient was initially diagnosed with prevertebral and retroperitoneal abscessafter cervical acupuncture. The patient underwent cervical incision and drainage, andabdominal percutaneous drainage. During postoperative care, quadriplegia was developed,and an epidural abscess of the spinal cord was identified at the fifth and sixth cervical vertebra. Urgent decompression and drainage for spinal cord abscess was performed. Sixteenweeks after decompression, quadriplegia was improved and the patient was able to walk byhimself. We report, along with a literature review, a case of multiple abscesses including spinalcord abscess that developed after a cervical acupuncture.
Abstract
A 66-year-old male patient was initially diagnosed with prevertebral and retroperitoneal abscessafter cervical acupuncture. The patient underwent cervical incision and drainage, andabdominal percutaneous drainage. During postoperative care, quadriplegia was developed,and an epidural abscess of the spinal cord was identified at the fifth and sixth cervical vertebra. Urgent decompression and drainage for spinal cord abscess was performed. Sixteenweeks after decompression, quadriplegia was improved and the patient was able to walk byhimself. We report, along with a literature review, a case of multiple abscesses including spinalcord abscess that developed after a cervical acupuncture.
참고문헌 (15)
- Wang LF, "Characterizations of lifethreatening deep cervical space infections : A review of one hundred ninety-six cases", Am J Otolaryngol, 24(2), pp.111~117 (2003)
- Amar YG, "Intraoral drainage : Recommended as the initial approach for the treatment of parapharyngeal abscesses", Otolaryngol Head Neck Surg, 130(6), pp.676~680 (2004)
- Huang TT, "Deep neck infection : Analysis of 185 cases", Head Neck, 26(10), pp.854~860 (2004)
- 김이석, "심경부 감염의 임상분석", 대한이비인후-두경부외과학회지, 53(10), pp.627~631 (2010), 대한이비인후과학회
- Koivunen P, "Internal carotid artery thrombosis and Horner’s syndrome as complications of parapharyngeal abscess", Otolaryngol Head Neck Surg, 121(1), pp.160~162 (1999)
- Sethi DS, "Deep neck abscesses--changing trends", J Laryngol Otol, 108(2), pp.138~143 (1994)
- Jang YJ, "Retropharyngeal abscess associated with osteomyelitis of the cervical spine and an epidural abscess", Korean J Otorhinolaryngol-Head Neck Surg, 40(3), pp.435~439 (1997)
- Kusunoki T, "A case of retropharyngeal abscess with spondylitis causing tetraplegia", Clin Pract, 2(2), pp.123~124 (2012)
- Robinson A, "Atlanto-axial infection after acupuncture", Acupunct Med, 34(2), pp.149~151 (2016)
- Bang MS, "Paraplegia caused by spinal infection after acupuncture", Spinal Cord, 44(4), pp.258~259 (2006)
- YongPilCho, "Retroperitoneal Abscess Complicated by Acupuncture: Case Report", Journal of Korean Medical Science, 18(5), pp.756~757 (2003), 대한의학회
- Chiang GS, "Acupuncture causing methicillin-sensitive Staphylococcus aureus spondylodiscitis resulting in bacteremia and bacteriuria", J Am Geriatr Soc, 62(11), pp.2221~2222 (2014)
- Vieira F, "Deep neck infection", Otolaryngol Clin North Am, 41(3), pp.459~483 (2008)
- Ernst E, "Life-threatening adverse reactions after acupuncture? A systematic review", Pain, 71(2), pp.123~126 (1997)
- Baker AS, "Spinal epidural abscess", N Engl J Med, 293(10), pp.463~468 (1975)