Case report: catheter-related epidural abscess.
BACKGROUND
Catheter-related spinal epidural abscesses are rare but increasing in incidence.


METHODS
An elderly gentleman received 4 days of continuous epidural analgesia following multiple traumatic rib fractures. Five days subsequently, he developed an extensive epidural abscess accompanied by backache, lower limb weakness, fever, leukocytosis and Staphylococcal bacteraemia.


METHODS
He received appropriate intravenous antibiotics and underwent an emergent decompressive laminectomy.


RESULTS
A good outcome was achieved because of prompt diagnosis, appropriate intravenous antibiotics and timely surgical intervention.


CONCLUSIONS
It is important to be vigilant and continue to maintain good clinical practice and a high index of suspicion for this procedural-related complication.
Department of Anaesthesia & Surgical Intensive Care, Singapore General Hospital, Outram Road, Singapore 169608. gantsm@sgh.com.sg
S M
SM
Tay
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R
Lee
D015360:Analgesia, Epidural / Q000009:adverse effects* / Q000379:methods; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002404:Catheterization / Q000009:adverse effects*; D003131:Combined Modality Therapy; D020802:Epidural Abscess / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D007796:Laminectomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D012253:Rib Fractures / Q000175:diagnosis / Q000628:therapy*; D018570:Risk Assessment; D013131:Spine; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents