title: Epidural collection following a late infected total knee replacement--a case report.
abstract: Prosthetic joint infection is a well-described complication following primary joint replacement. The association between an epidural abscess and joint replacement surgery following the use of epidural anaesthetics has been previously documented. There is however, no report in the literature of an epidural abscess forming as a result of haematogenous spread from an infected prosthetic joint. This case report presents such a scenario and highlights the importance of early diagnosis and treatment of infected prosthetic joints to avoid further systemic complications.
authors: Princess Royal University Hospital, South London Healthcare NHS Trust, United Kingdom. Electronic address: fabian.wong@gmail.com.
authors: Fabian
authors: F
authors: Wong
authors: Princess Royal University Hospital, South London Healthcare NHS Trust, United Kingdom.
authors: Christian
authors: C
authors: Smith
authors: Princess Royal University Hospital, South London Healthcare NHS Trust, United Kingdom.
authors: Loren
authors: L
authors: Charles
authors: Princess Royal University Hospital, South London Healthcare NHS Trust, United Kingdom.
authors: Dennis
authors: D
authors: Baker
authors: Princess Royal University Hospital, South London Healthcare NHS Trust, United Kingdom.
authors: Paul
authors: P
authors: Allen
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019645:Arthroplasty, Replacement, Knee; D001182:Arthroscopy; D020802:Epidural Abscess / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D007720:Knee Prosthesis / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D012086:Reoperation; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D007507:Therapeutic Irrigation
chemical_list: D000900:Anti-Bacterial Agents
keywords: Cauda equina syndrome; Epidural abscess; Infected arthroplasty; Metastatic infection; Septic arthritis