title: Surgical Site Infection 18 Months Following Intrathecal Pump Placement Secondary to an Asymptomatic Bowel Injury.
abstract: Surgical site infections following the implantation of intrathecal drug delivery systems typically present during the first 1 to 2 months following surgery. Surgical site infections occurring outside of this window are rare entities and require special attention to identify the source or underlying cause. In this report, we present a case of pump pocket infection 18 months following implantation due to an asymptomatic and unrecognized bowel injury associated with the catheter. This case highlights the need for a thorough evaluation in a patient with suspected infections more than 2 months after surgery to ensure adequate treatment.
authors.affiliation: Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A.
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Deibert
authors.affiliation: Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A.
authors.forename: Gurpreet S
authors.initials: GS
authors.lastname: Gandhoke
authors.affiliation: Department of Trauma and General Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A.
authors.forename: Raquel M
authors.initials: RM
authors.lastname: Forsythe
authors.affiliation: Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A.
authors.forename: John J
authors.initials: JJ
authors.lastname: Moossy
mesh_terms: D058070:Asymptomatic Diseases; D016503:Drug Delivery Systems / Q000009:adverse effects / Q000639:trends; D005260:Female; D006801:Humans; D015918:Infusion Pumps, Implantable / Q000009:adverse effects* / Q000639:trends; D007278:Injections, Spinal; D007421:Intestine, Small / Q000293:injuries*; D008875:Middle Aged; D013530:Surgical Wound Infection / Q000175:diagnosis* / Q000209:etiology; D013997:Time Factors
keywords: complication; delayed infection; intrathecal drug delivery