• Ann Acad Med Singap · Jan 2001

    Case Reports

    Case report: catheter-related epidural abscess.

    • S M Tay and R Lee.
    • Department of Anaesthesia & Surgical Intensive Care, Singapore General Hospital, Outram Road, Singapore 169608. gantsm@sgh.com.sg
    • Ann Acad Med Singap. 2001 Jan 1; 30 (1): 62-5.

    IntroductionCatheter-related spinal epidural abscesses are rare but increasing in incidence.Clinical PictureAn elderly gentleman received 4 days of continuous epidural analgesia following multiple traumatic rib fractures. Five days subsequently, he developed an extensive epidural abscess accompanied by backache, lower limb weakness, fever, leukocytosis and Staphylococcal bacteraemia.TreatmentHe received appropriate intravenous antibiotics and underwent an emergent decompressive laminectomy.OutcomeA good outcome was achieved because of prompt diagnosis, appropriate intravenous antibiotics and timely surgical intervention.ConclusionsIt is important to be vigilant and continue to maintain good clinical practice and a high index of suspicion for this procedural-related complication.

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