Complications During Ozone Therapy as a Result of Malpractice and Lack of Guidelines

Excerpt

The recent contribution by Daniel S. Marin-Medina et al. in this journal, raised some questions of our own, which we would like to bring to your attention. The authors described a 71-year-old woman case report, who showed a medical history of arterial hypertension and osteoarthritis and experienced a sudden onset of right-sided weakness and aphasia, following an oxygen-ozone paravertebral treatment (OOT) for cervical pain [1]. The authors did not report how the patient underwent OOT, we mean which protocol was used to treat the patient, an issue that remains still obscure. The reader is left to the simple anamnestic consideration that the patient underwent OOT without being fully informed about ozone doses and administration protocols; however, presumably following OOT, the observed extensive emphysema in the neck observed by the authors, along with multiple air bubbles in the neck muscles, despite an initial computed tomography (CT) did not detect significant signs of ischemia, finally suggested to the authors that intramuscular (intramuscular-paravertebral) injections of ozone in an OOT, was causative of air embolism and stroke [1]. …