PMID- 33486502
OWN - NLM
STAT- MEDLINE
DCOM- 20210514
LR  - 20210514
IS  - 1941-5923 (Electronic)
IS  - 1941-5923 (Linking)
VI  - 22
DP  - 2021 Jan 24
TI  - Traumatic Pneumothorax in a 58-Year-Old Man: A Case Report of a Rare 
      Post-Acupuncture Adverse Event.
PG  - e928094
LID - 10.12659/AJCR.928094 [doi]
AB  - BACKGROUND The prevalence of chronic medical conditions continues to rise, as 
      does the number of patients seeking alternative treatments for them. Chronic pain 
      is a prevalent medical complaint and acupuncture often is used to treat it. The 
      Chinese literature documents several adverse events (AEs) associated with 
      acupuncture, including cardiac tamponade, pneumothorax, infection, and nerve 
      injuries. These complications are rare and may be associated with anatomical 
      characteristics of the patients and deep insertion of the acupuncture needles. 
      Differences in body type, weight, height, sex, and muscle mass contribute to 
      anatomical differences and the depth at which vital organs lie. Having a better 
      understanding of these anatomical differences may alter the occurrence of such 
      AEs. CASE REPORT A slim 58-year-old man who was treated for neck pain with 
      acupuncture presented with 2-day history of moderate-severity pleuritic and sharp 
      pain radiating from the left scapula to the midaxillary and retrosternal area. A 
      left-sided pneumothorax was diagnosed on chest X-ray and the patient was treated 
      with a chest tube. CONCLUSIONS This case underscores that acupuncture can result 
      in complications such as a pneumothorax from puncture of the pleura. These types 
      of AEs from acupuncture can be avoided with a better understanding of anatomical 
      differences, including body mass index and variations in depth associated with 
      body size, musculature, or skeletal structure. When placing the needles, it is 
      crucial for practitioners to know that the depth at which vital organs lie may 
      differ between patients.
FAU - Smith, Brittany
AU  - Smith B
AD  - Saint George's University School of Medicine, True Blue, Grenada.
AD  - Department of Family Medicine, Brooklyn Hospital Center, Brooklyn, NY, USA.
FAU - Lew, Sungyub
AU  - Lew S
AD  - Saint George's University School of Medicine, True Blue, Grenada.
AD  - Department of Family Medicine, Brooklyn Hospital Center, Brooklyn, NY, USA.
FAU - Manes, Prabhjot
AU  - Manes P
AD  - Saint George's University School of Medicine, True Blue, Grenada.
AD  - Department of Family Medicine, Brooklyn Hospital Center, Brooklyn, NY, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20210124
PL  - United States
TA  - Am J Case Rep
JT  - The American journal of case reports
JID - 101489566
SB  - IM
MH  - *Acupuncture Therapy/adverse effects
MH  - *Cardiac Tamponade
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pleura
MH  - *Pneumothorax/diagnostic imaging/etiology/therapy
MH  - Radiography
PMC - PMC7841691
COIS- Conflict of interest: None declared Conflicts of interest None.
EDAT- 2021/01/25 06:00
MHDA- 2021/05/15 06:00
PMCR- 2021/01/24
CRDT- 2021/01/24 20:51
PHST- 2021/01/24 20:51 [entrez]
PHST- 2021/01/25 06:00 [pubmed]
PHST- 2021/05/15 06:00 [medline]
PHST- 2021/01/24 00:00 [pmc-release]
AID - 928094 [pii]
AID - 10.12659/AJCR.928094 [doi]
PST - epublish
SO  - Am J Case Rep. 2021 Jan 24;22:e928094. doi: 10.12659/AJCR.928094.