Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
9932998 | International Journal of Obstetric Anesthesia | 2005 | 4 Pages |
Abstract
We present a rare case in which a healthy parturient developed a paraspinal abscess after spinal anaesthesia for caesarean section and epidural analgesia for postoperative pain management. The catheter was in situ for 58Â h. Backache was the initial and major symptom. A concealed course with no neurological deficit resulted in a delayed diagnosis and treatment in this case. The infection was not diagnosed until 20 days after the removal of the epidural catheter when there was a purulent discharge from the epidural puncture site. Surgical drainage was required. Anaesthesiologists should be aware that serious epidural analgesia-related infections can happen in extra spinal-epidural spaces. Vigilance for these infections, especially in postpartum patients with backache, is needed.
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Authors
Y.Y. Huang, Z. Zuo, H.B. Yuan, M.Y. Tsou, M.T. Chen, S.K. Tsai,