A subdural abscess and infected blood patch complicating regional analgesia for labour

Int J Obstet Anesth. 2005 Jul;14(3):246-51. doi: 10.1016/j.ijoa.2005.03.002.

Abstract

We report two very unusual cases of infection complicating labour analgesia. The first case was a sub-dural abscess presenting with deep-seated backache seven days after combined spinal-epidural analgesia for labour. The second was a painful lumbar swelling and septicaemia that presented three days after a blood patch for a post dural puncture headache. Because of their complicated and unusual presentation, the diagnosis and management of both were initially delayed.

Publication types

  • Case Reports

MeSH terms

  • Abscess / complications*
  • Abscess / pathology
  • Abscess / surgery
  • Adult
  • Analgesia, Epidural*
  • Analgesia, Obstetrical*
  • Anti-Bacterial Agents / therapeutic use
  • Back Pain / etiology
  • Back Pain / pathology
  • Blood Patch, Epidural / adverse effects*
  • Decompression, Surgical
  • Female
  • Fever / etiology
  • Headache / etiology
  • Humans
  • Injections, Spinal
  • Magnetic Resonance Imaging
  • Pregnancy
  • Subdural Space*
  • Vancomycin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Vancomycin