Lumbar spondylodiscitis caused by Propionibacterium acnes after epidural obstetric analgesia.
We report a case of Propionibacterium acnes spondylodiscitis after the placement of an epidural catheter for obstetric analgesia. This observation should alert the anesthesiologist to the fact that infection, although rare, may occur after uneventful epidural analgesia in the healthy parturient and reinforces the importance of aseptic technique during epidural catheter insertion.
Hernández-Palazón
Joaquín
J
Departments of *Anesthesia, †Orthopedic Surgery, and ‡Neurosurgery, Hospital Universitario "Virgen de la Arrixaca," Murcia, Spain.
Puertas-García
J Pablo
JP
Martínez-Lage
Juan F
JF
Tortosa
José A
JA
D000328:Adult; D015360:Analgesia, Epidural; D016362:Analgesia, Obstetrical; D015299:Discitis / Q000209:etiology* / Q000382:microbiology / Q000473:pathology; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000209:etiology* / Q000382:microbiology / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011425:Propionibacterium acnes; D013131:Spine / Q000473:pathology