Huang W. L. – M.D.¹, Huang T.T, Huang A.P.S. – M.D., Bartocci M.C. – M.D.
Brazil
Introduction:
Chronic osteomyelitis: a chronic bone infection, with persistence of pathogenic microorganisms, in about 5% of open fractures.
For the Center for Disease Control (CDC, EUA), nosocomial infection is that which is not present, nor incubated on hospital admittance.
Aim:
To demonstrate that Auricular Acupuncture, Chinese Phytotherapy and Dietary counseling is crucial for the successful treatment of nosocomial post-surgical knee osteomyelitis resistant to antibiotics.
Methods:
D.A.P, female, 23,
Dec.17-28, 2004 – open bone reduction 11 days after a traffic accident. Cephazoline sodium (IV) used prophylactically.
Jan. 2005 – acute osteomyelitis diagnosed, Cephalothin and Garamycin (IV) for four weeks.
Feb. 2005 – Vancomycin (IV) for four weeks.
March 2005 – Imipenem (IV) used. Ciprofloxacin at home.
June 2005 – surgical debridement – no improvement.
March 8, 2006 – secretion culture: Pseudomonas aerugenosa sensitive only to Polimixin B.
Jan. 3, 2007 – an infectologist was recommended who discontinued the antibiotics, using instead Dietary counseling, Auricular points with bleeding on the top of the ear and Phytotherapy (Long Dan Xie Gan Tang).
Feb. 2007 – lost 30 kilos and secretion improved. Painless knee.
June 16, 2007 – bone consolidation, removal of the synthesis material.
March 2010 – no fistulas were evident.
Result:
The patient had an excellent recovery only when she started the treatment using Acupuncture associated with top of the ear bleeding, Phytotherapy and Dietary counseling.
Conclusion:
Auricular acupuncture, phytotherapy, and dietary counseling is very important for success in the treatment of nosocomial post-surgical knee osteomyelitis resistant to antibiotics.
The treatment using only antibiotics was not effective for this patient.