[Peridural abscess complicating spinal anesthesia in a diabetic patient].
Infectious complications of spinal or epidural anaesthesia are rare, particularly after spinal anaesthesia. Most of them consist of a meningitis. We report a case of epidural abscess due to Staphylococcus aureus following spinal anaesthesia in a 62-year-old diabetic patient, diagnosed 45 days after the puncture with bacterial samples and magnetic resonance imaging. The pejorative neurological outcome required a laminectomy in spite of an efficient anti-staphylococcal treatment.
Popesco
D
D
Département d'anesthésie-réanimation A, centre hospitalo-universitaire, Amiens, France.
Fodzo
E
E
Yagoubi
A
A
Dekens
J
J
Tchaoussoff
J
J
D042462:4-Quinolones; D000038:Abscess / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D000583:Amikacin / Q000627:therapeutic use; D000775:Anesthesia, Spinal; D000890:Anti-Infective Agents; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D004198:Disease Susceptibility; D004322:Drainage; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004824:Epidural Space; D024841:Fluoroquinolones; D006801:Humans; D007796:Laminectomy; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010068:Oxacillin / Q000627:therapeutic use; D011183:Postoperative Complications / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D011206:Povidone-Iodine / Q000627:therapeutic use; D011677:Punctures / Q000009:adverse effects*; D015363:Quinolones / Q000627:therapeutic use; D013122:Spinal Diseases / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D015366:Pefloxacin
D042462:4-Quinolones; D000583:Amikacin; D000890:Anti-Infective Agents; D024841:Fluoroquinolones; D010068:Oxacillin; D011206:Povidone-Iodine; D015363:Quinolones; D015366:Pefloxacin