• Y Y Huang, Z Zuo, H B Yuan, M Y Tsou, M T Chen, and S K Tsai.
• Department of Anesthesiology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.
• Int J Obstet Anesth. 2005 Jul 1;14(3):252-5.

AbstractWe present a rare case in which a healthy parturient developed a paraspinal abscess after spinal anaesthesia for caesarean section and epidural analgesia for postoperative pain management. The catheter was in situ for 58 h. Backache was the initial and major symptom. A concealed course with no neurological deficit resulted in a delayed diagnosis and treatment in this case. The infection was not diagnosed until 20 days after the removal of the epidural catheter when there was a purulent discharge from the epidural puncture site. Surgical drainage was required. Anaesthesiologists should be aware that serious epidural analgesia-related infections can happen in extra spinal-epidural spaces. Vigilance for these infections, especially in postpartum patients with backache, is needed.

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