[Case of spinal epidural abscess after continuous epidural block to manage the pain of herpes zoster].
A woman in her 90's received continuous epidural block for the pain of herpes zoster. Four days after epidural catheterization, she was found with cellutitis. Fourteen days after epidural catheterization, spinal epidural abscess was pointed out on MRI. Since there were no neurological symptoms, we performed conservative medical management with antibiotics. She recovered without sequela When the symptoms of cellutitis appeared after epidural block (even if there are neither neurological symptoms nor infectious signs), there is a possibility of progressing into spinal epidural abscess.
Tatsuhito
T
Miyamoto
Toshihiko
T
Nakatani
Yasuhiro
Y
Narai
Manabu
M
Sakakibara
Tatsuya
T
Hashimoto
Youji
Y
Saito
D000369:Aged, 80 and over; D015360:Analgesia, Epidural / Q000009:adverse effects / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D055499:Catheter-Related Infections / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D002408:Catheters, Indwelling / Q000009:adverse effects* / Q000382:microbiology*; D002481:Cellulitis / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology; D018450:Disease Progression; D020802:Epidural Abscess / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology*; D004824:Epidural Space; D005260:Female; D006562:Herpes Zoster / Q000150:complications*; D006801:Humans; D008619:Mepivacaine / Q000008:administration & dosage; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D009407:Nerve Block / Q000009:adverse effects / Q000379:methods*; D059408:Pain Management / Q000009:adverse effects / Q000379:methods*; D010148:Intractable Pain / Q000628:therapy*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology*; D016896:Treatment Outcome; D014640:Vancomycin / Q000008:administration & dosage
D000779:Anesthetics, Local; D000900:Anti-Bacterial Agents; D014640:Vancomycin; D008619:Mepivacaine