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Acute pyelonephritis and myositis after carboxytherapy : A case report

카르복시테라피 후 발생한 급성 신우신염 및 근육염 : 증례 보고

  • Sun, KyungHoon (Department of emergency medicine, Chosun university, college of medicine) ;
  • Heo, JunHo (Department of Emergency Medicine, Wonkwang University, School of Medicine) ;
  • Hwang, Yong (Department of Emergency Medicine, Wonkwang University, School of Medicine)
  • 선경훈 (조선대학교의과대학 응급의학과교실) ;
  • 허준호 (원광대학교의과대학 응급의학과교실) ;
  • 황용 (원광대학교의과대학 응급의학과교실)
  • Received : 2018.05.29
  • Accepted : 2018.08.03
  • Published : 2018.08.31

Abstract

Carboxytherapy is very similar to mesotherapy in terms of methods, conditions it treats, and outcomes. An important difference consider, however, is that carboxytherapy administers carbon dioxide gas into the subcutaneous layer, just underneath the skin, whereas mesotherapy administers a cocktail of vitamins, minerals, and drugs and into the mesoderm of the skin. There have been many previous case reports of complications of mesotherapy such as hematoma, granulomatous panniculitis, cellulitis, and abscesses. However, complications of carboxytherapy have rarely been reported because the carbon dioxide gas is absorbed within a week and is infused into the subcutaneous and superficial layers. A 27-year-old woman who had twice undergone carboxytherapy to reduce abdominal fat (3 days and 2 weeks ago) at an oriental medical clinic visited the emergency department due to high fever, myalgia, severe back pain, and subcutaneous emphysema from the buttocks to the lower chest wall area. A computed tomography (CT) scan was performed for diagnosis and treatment. We immediately started broad spectrum antibiotics and consulted with the department of radiology, which could not rule out acute peritonitis due to needle injury. A radiologist confirmed abdominal myositis and needle puncture induced acute pyelonephritis. Pyelonephritis can even lead to septicemia, which can have fatal consequences. Therefore, if the patient has costovertebral or back pain after undergoing needle puncture or acupuncture therapy, the emergency physcians need careful initial evaluation for diagnosis and treatment.

Keywords

Carboxytherapy;Myositis;Organ injury;Pyelonephritis;Subcutaneous injection

Acknowledgement

Supported by : 원광대학교

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