[Peridural abscess complicating spinal anesthesia in a diabetic patient]

Ann Fr Anesth Reanim. 1997;16(8):964-6. doi: 10.1016/s0750-7658(97)82145-4.
[Article in French]

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.

Publication types

  • Case Reports

MeSH terms

  • 4-Quinolones*
  • Abscess / drug therapy
  • Abscess / etiology*
  • Abscess / surgery
  • Amikacin / therapeutic use
  • Anesthesia, Spinal*
  • Anti-Infective Agents*
  • Diabetes Mellitus, Type 2 / complications*
  • Disease Susceptibility
  • Drainage
  • Drug Therapy, Combination / therapeutic use
  • Epidural Space
  • Fluoroquinolones*
  • Humans
  • Laminectomy
  • Lumbar Vertebrae
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Oxacillin / therapeutic use
  • Pefloxacin
  • Postoperative Complications / drug therapy
  • Postoperative Complications / etiology*
  • Postoperative Complications / surgery
  • Povidone-Iodine / therapeutic use
  • Punctures / adverse effects*
  • Quinolones / therapeutic use
  • Spinal Diseases / drug therapy
  • Spinal Diseases / etiology*
  • Spinal Diseases / surgery
  • Staphylococcal Infections / drug therapy
  • Staphylococcal Infections / etiology*
  • Staphylococcal Infections / surgery

Substances

  • 4-Quinolones
  • Anti-Infective Agents
  • Fluoroquinolones
  • Quinolones
  • Amikacin
  • Povidone-Iodine
  • Oxacillin