Staphylococcus aureus meningitis after short-term epidural analgesia.

نویسنده

  • B J Anía
چکیده

SIR-In a report of their experience at a referral center for patients with suspected Lyme disease [1], Burdge and O'Hanlon describe British Columbia as an area that is not known to be endemic for Lyme borreliosis. Recently, however, Borrelia burgdorferi and/or variants ofthe organism have been isolated from ticks and rodents from eight sites widely distributed throughout British Columbia. This research was a collaborative effort of the Vancouver, British Co-

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Epidural abscess after patient-controlled epidural analgesia. Case report.

BACKGROUND AND OBJECTIVES Epidural analgesia is often used to control postoperative pain or to manage chronic pain in oncologic patients. However, it is not free from complications. This case reports a young healthy female patient submitted to epidural analgesia in patient-controlled infusion pump, which developed epidural abscess requiring surgical decompression. CASE REPORT Female patient, ...

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[Meningitis after combined spinal-epidural analgesia for labor: case report].

BACKGROUND AND OBJECTIVES Meningitis is a serious complication, although rare in regional anesthesia. This report aimed at presenting a case which evolved to meningitis after combined labor spinal-epidural analgesia. CASE REPORT Laboring patient, 25 years old, second gestation and previous c-section. Combined labor spinal-epidural analgesia was induced with double-puncture. Twenty-four hours ...

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Meningitis following a combined spinal-epidural technique in a labouring term parturient.

PURPOSE To report a case of probable bacterial meningitis in a parturient who received a combined spinal-epidural (CSE) technique for labour analgesia. CLINICAL FEATURES A 28-yr-old GIPO at 40 wk gestational age presented in labour and requested analgesia. A CSE technique was used to inject a mixture of fentanyl 25 micrograms and bupivacaine 2.5 mg into the subarachnoid space following which ...

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A case of panspinal epidural abscess that presented with meningeal irritation

Case In rare cases, spinal epidural abscess involves the entire spine and can lead to neurological deficits and sepsis if treatment is delayed or suboptimal. A 65-year-old man was admitted with a diagnosis of bacterial meningitis. After admission, magnetic resonance imaging showed a spinal epidural abscess from the cervical to lumbar spine. Blood culture revealed Staphylococcus aureus. The pati...

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Bacterial colonization of epidural catheters used for short-term postoperative analgesia: microbiological examination and risk factor analysis.

BACKGROUND The authors conducted this prospective study to determine the incidence, potential routes, and risk factors of microbial colonization of epidural catheter used for postoperative pain control. METHODS Two-hundred five patients with epidural analgesia for postoperative pain were studied. On removal of the catheter, five samples were sent for culture: the infusate, a swab from inside ...

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عنوان ژورنال:
  • Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

دوره 18 5  شماره 

صفحات  -

تاریخ انتشار 1994