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[Epidural abscess associated with epidural block in a patient with immunosuppressive disease]
M Yamaguchi1, A Kawakubo, R Ide
1Department of Anesthesiology, Sasebo General Hospital.
Masui. the Japanese Journal of Anesthesiology
|June 25, 1999
Abstract:
A patient with myeloproliferative disorders and diabetes mellitus received epidural block twice for treatment of the low back and leg pain. The drugs used were 1% mepivacaine 4 ml for the first and 1% mepivacaine 6 ml and dexamethazone 4 mg for the second on the next day. Epidural abscess was noticed 2 days later when pus was aspirated through a block needle. MRI revealed the abscess localized at L5/S1. Intensive treatment including epidural drainage and antibiotics succeeded in healing the abscess. Use of epidural block for immunocompromized patients should be decided carefully.