Cerebrospinal fluid-cutaneous fistula and pseudomonas meningitis complicating thoracic epidural analgesia.
We report a case of delayed cerebrospinal fluid-cutaneous fistula that developed in a patient following removal of a thoracic epidural catheter used for perioperative analgesia. It was further complicated by the development of bacterial meningitis. Predisposing factors and management of this rare iatrogenic complication are discussed and the literature reviewed for similar reports.
Abaza
K T
KT
Department of Anaesthesia, Nottingham City Hospital NHS, Hucknall Road, Nottingham NG5 1PB, UK.
Bogod
D G
DG
D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D002555:Cerebrospinal Fluid; D003428:Cross Infection / Q000209:etiology; D017577:Cutaneous Fistula / Q000209:etiology*; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000209:etiology*; D011552:Pseudomonas Infections / Q000209:etiology*