• A & A case reports · Dec 2014

    Conservative treatment of an epidural abscess after thoracic epidural catheterization.

    • Patricia Hernández-Puiggròs, Antonio Montes, Alberto Solano, José L Aguilar, Gerardo Conesa, and Juan Pablo Horcajada.
    • From the *Department of Anesthesiology, ICU and Pain Clinic, Hospital Son Llàtzer, Palma de Mallorca, Spain; †Major Outpatient Surgery Department and Pain Unit, Hospital del Mar-Parc de Salut Mar, Barcelona, Spain; ‡Department of Radiology and Image Diagnostics, Hospital del Mar-Parc de Salut Mar, Barcelona, Spain; §Department of Anesthesiology, Reanimation and Pain Relief, IdISPa Hospital Son Llàtzer, Palma de Mallorca, Spain; ∥Neurosurgery Department, Hospital del Mar-Parc de Salut Mar, Barcelona, Spain; and ¶Infectious Diseases Department, Hospital del Mar-Parc de Salut Mar, Barcelona, Spain.
    • A A Case Rep. 2014 Dec 15;3(12):162-5.

    AbstractWe describe a case of a thoracic epidural abscess after epidural catheter insertion in a patient undergoing lobar segmentectomy. The patient described a "pulsatile" back pain the sixth day after surgery, and purulent material at the entry site of the catheter was observed. The image of the nuclear magnetic resonance confirmed an epidural abscess that was treated conservatively with antibiotics after a consensus decision among neurosurgery, infectious diseases an anesthesia services. The abscess was reabsorbed completely with no sequelae.

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