Delayed presentation of an extradural abscess in a patient with alcohol abuse.
Three cases of extradural abscess with delayed presentation after extradural analgesia have been reported previously. The present report describes a patient with alcohol abuse who was treated for 5 days with extradural injections of bupivacaine for pain from multiple rib fractures. The first symptoms of an extradural abscess developed approximately 11 days after removal of the extradural catheter, and definite diagnosis was delayed a further 7 days.
Nordström
O
O
Department of Anaesthesia, Länssjukhuset, Kalmar, Sweden.
Sandin
R
R
D000038:Abscess / Q000150:complications / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D000437:Alcoholism / Q000150:complications*; D015360:Analgesia, Epidural / Q000009:adverse effects*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013117:Spinal Cord Compression / Q000209:etiology; D013118:Spinal Cord Diseases / Q000175:diagnosis / Q000209:etiology*; D013203:Staphylococcal Infections / Q000150:complications