A subdural abscess and infected blood patch complicating regional analgesia for labour.
We report two very unusual cases of infection complicating labour analgesia. The first case was a sub-dural abscess presenting with deep-seated backache seven days after combined spinal-epidural analgesia for labour. The second was a painful lumbar swelling and septicaemia that presented three days after a blood patch for a post dural puncture headache. Because of their complicated and unusual presentation, the diagnosis and management of both were initially delayed.
Collis
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RE
Department of Anaesthetics, University Hospital of Wales, Cardiff, UK.
Harries
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SE
D000038:Abscess / Q000150:complications* / Q000473:pathology / Q000601:surgery; D000328:Adult; D015360:Analgesia, Epidural; D016362:Analgesia, Obstetrical; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001416:Back Pain / Q000209:etiology / Q000473:pathology; D017217:Blood Patch, Epidural / Q000009:adverse effects*; D019299:Decompression, Surgical; D005260:Female; D005334:Fever / Q000209:etiology; D006261:Headache / Q000209:etiology; D006801:Humans; D007278:Injections, Spinal; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D013355:Subdural Space; D014640:Vancomycin / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D014640:Vancomycin