[Epidural abscess associated with epidural block in a patient with immunosuppressive disease].
A patient with myeloproliferative disorders and diabetes mellitus received epidural block twice for treatment of the low back and leg pain. The drugs used were 1% mepivacaine 4 ml for the first and 1% mepivacaine 6 ml and dexamethazone 4 mg for the second on the next day. Epidural abscess was noticed 2 days later when pus was aspirated through a block needle. MRI revealed the abscess localized at L5/S1. Intensive treatment including epidural drainage and antibiotics succeeded in healing the abscess. Use of epidural block for immunocompromized patients should be decided carefully.
Yamaguchi
M
M
Department of Anesthesiology, Sasebo General Hospital.
Kawakubo
A
A
Ide
R
R
Hara
K
K
Sumikawa
K
K
D000038:Abscess / Q000209:etiology*; D000368:Aged; D015360:Analgesia, Epidural / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000009:adverse effects; D003907:Dexamethasone / Q000008:administration & dosage / Q000009:adverse effects; D048909:Diabetes Complications; D004824:Epidural Space; D006801:Humans; D016867:Immunocompromised Host; D017116:Low Back Pain / Q000628:therapy; D008297:Male; D008619:Mepivacaine / Q000008:administration & dosage / Q000009:adverse effects; D009196:Myeloproliferative Disorders / Q000150:complications
D000779:Anesthetics, Local; D000893:Anti-Inflammatory Agents; D003907:Dexamethasone; D008619:Mepivacaine