An epidural abscess due to resistant Staphylococcus aureus following epidural catheterisation.
We report a case of abscess formation after epidural analgesia, a rare complication that developed in our patient 13 days after placement of a thoracic epidural catheter for patient controlled analgesia. Culture of the pus grew methicillin-resistant Staphylococcus aureus. Although early diagnosis and rapid management have been reported to yield a satisfactory outcome, the case we describe ended in severe sequelae.
Yuste
M
M
Department of Anaesthesiology, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Canet
J
J
Garcia
M
M
Gil
M A
MA
Vidal
F
F
D000038:Abscess / Q000209:etiology*; D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D016058:Analgesia, Patient-Controlled / Q000009:adverse effects; D004824:Epidural Space; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D013122:Spinal Diseases / Q000209:etiology*; D013203:Staphylococcal Infections / Q000209:etiology*; D013211:Staphylococcus aureus / Q000187:drug effects