PMID: 11915074Mar 27, 2002Paper

Vertebral osteomyelitis and psoas abscess occurring after obstetric epidural anesthesia

Regional Anesthesia and Pain Medicine
Bee B LeeJames F Griffith

Abstract

Back pain and infectious complications occasionally occur after epidural anesthesia in obstetrics, and accurate diagnosis can be difficult. We report a patient who developed low back pain soon after obstetric epidural anesthesia and was diagnosed 6 months later with lumbar vertebral osteomyelitis, discitis, and a psoas abscess. A 34-year-old woman developed persistent low back pain after receiving epidural anesthesia for labor analgesia and cesarean delivery. After 6 months, a diagnosis of lumbar vertebral osteomyelitis, discitis, and psoas abscess was made, and surgery was performed. Because of the temporal and anatomical relationships between epidural catheterization and the development of symptoms, the preceding epidural anesthesia was initially suspected as a potential cause. However, because the posterior spinal elements were unaffected and the infectious agent was subsequently identified as tuberculous, the cause was eventually determined as unlikely to be related to the epidural procedure. Investigation of severe back pain after epidural anesthesia should include consideration of infectious causes, such as vertebral osteomyelitis and discitis, which may not be causally related to the epidural catheterization itself.

References

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Citations

May 9, 2006·Langenbeck's Archives of Surgery·P K BaierU T Hopt
Jul 30, 2005·Anesthesiology·Estelle L MorauPascal H Colson
Aug 10, 2004·Postgraduate Medical Journal·I H MallickT P Rajendran
Sep 27, 2006·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·A PatilG Mires
Dec 1, 2009·International Journal of Obstetric Anesthesia·L K Green, M J Paech
Sep 11, 2012·International Journal of Surgery·D ShieldsT P Crowley
Jan 16, 2010·Tropical Doctor·Abdul Rehman AlviZia Ur Rehman G Nabi
Aug 21, 2016·Sports Health·Charlotte M H Moriarty, Robert J Baker
Nov 21, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·J P H J RutgesF C Oner
Nov 24, 2004·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Wolfgang Zink, Bernhard M Graf
Jul 28, 2020·International Orthopaedics·Fady Michael Fahmy Ibrahim, Abd El-Rady Mahmoud Abd El-Rady
Jan 25, 2006·British Journal of Anaesthesia·S GrewalJ A W Wildsmith
Dec 20, 2011·British Journal of Anaesthesia·K GritsenkoS G Memtsoudis

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