• A&A practice · Jul 2020

    Case Reports

    Intrathecal Catheter as a Source of Infection Years After Implantation of an Intrathecal Drug Delivery System: A Case Report.

    • Cody A Foster and David R Walega.
    • From the Department of Anesthesiology, Northwestern University, Chicago, Illinois.
    • A A Pract. 2020 Jul 1; 14 (9): e01272.

    AbstractWe describe a patient with an intrathecal drug delivery system (IDDS) for management of chronic back pain who developed worsening pain symptoms associated with an infected catheter tip, identified years after initial implantation. A 72-year-old woman had an IDDS initially implanted for management of chronic back pain. Years later, after suffering a vertebral compression fracture, workup revealed magnetic resonance imaging (MRI) findings suggestive of infection despite unremarkable laboratory findings. Her pain worsened, and after explantation of the IDDS, methicillin-resistant Staphylococcus aureus colonized the catheter tip. Worsening pain symptoms in a patient with intrathecal morphine pump must be met with a broad differential diagnosis.

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