Abstract
Infectious complications of spinal or epidural anaesthesia are rare, particularly after spinal anaesthesia. Most of them consist of a meningitis. We report a case of epidural abscess due to Staphylococcus aureus following spinal anaesthesia in a 62-year-old diabetic patient, diagnosed 45 days after the puncture with bacterial samples and magnetic resonance imaging. The pejorative neurological outcome required a laminectomy in spite of an efficient anti-staphylococcal treatment.
MeSH terms
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4-Quinolones*
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Abscess / drug therapy
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Abscess / etiology*
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Abscess / surgery
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Amikacin / therapeutic use
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Anesthesia, Spinal*
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Anti-Infective Agents*
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Diabetes Mellitus, Type 2 / complications*
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Disease Susceptibility
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Drainage
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Drug Therapy, Combination / therapeutic use
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Epidural Space
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Fluoroquinolones*
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Humans
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Laminectomy
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Lumbar Vertebrae
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Magnetic Resonance Imaging
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Male
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Middle Aged
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Oxacillin / therapeutic use
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Pefloxacin
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Postoperative Complications / drug therapy
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Postoperative Complications / etiology*
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Postoperative Complications / surgery
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Povidone-Iodine / therapeutic use
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Punctures / adverse effects*
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Quinolones / therapeutic use
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Spinal Diseases / drug therapy
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Spinal Diseases / etiology*
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Spinal Diseases / surgery
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Staphylococcal Infections / drug therapy
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Staphylococcal Infections / etiology*
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Staphylococcal Infections / surgery
Substances
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4-Quinolones
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Anti-Infective Agents
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Fluoroquinolones
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Quinolones
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Amikacin
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Povidone-Iodine
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Oxacillin