Paraspinal Abscess after Traditional Chinese Massage: Report of a Case

按摩後引發之脊旁膿瘍：病例報告

陳俊賢(Jun-Yeen Chan) ； 楊椒喬(Jiao-Chiao Yang) ； 張坤權(Kun-Chuan Chang)

《Formosan Journal of Surgery》 38卷3期 (2005/06) Pp. 127-130

https://doi.org/10.29833/FJS.200506.0004

摘要

在華人社會裡，按摩經常被作為肌肉骨骼疾病的傳統治療。雖然這種傳統療法很盛行，而且也認為是安全的，但偶爾也會伴隨併發症。文獻上僅有少數因施行硬膜外麻醉和針炙而併發脊柱旁膿瘍的病例報告，而從未提及傳統按摩和脊柱旁膿瘍的相關性。我們報告一個脊柱旁膿瘍的病例，病患曾接受傳統的按摩，主訴下背痛，漸漸進展為右下肢坐骨神經痛。送達急診時病患已出現發燒、畏寒和下肢無力的症狀，經過手術和積極的抗生素治療，病患完全康復。

並列摘要

Traditional Chinese massage is performed frequently for musculoskeletal disorder among the Chinese population. Even though it is popular and considered to be both safe and effective for treatment of musculoskeletal disorders, it may occasionally lead to complications. Paraspinal abscess following epidural anesthesia or acupuncture has been reported in the literature. To the best of our knowledge, however, paraspinal abscess has never been mentioned as a complication of traditional Chinese massage. We report an unusual case of paraspinal abscess where traditional Chinese Massage had been performed. Our patient presented with progressive right sciatica after a period of suffering from low back pain. Fever, intermittent chills and motor weakness of the lower extremities were found in our emergency department. After surgical debridement and aggressive antibiotic treatment, the patient recovered completely.

並列關鍵字

paraspinal abscess ； massage ； neurological deticits