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Bacterial sacroiliitis probably induced by lumbar epidural analgesia
Shimon Edelstein1, Yeouda Edoute
1Department of Internal Medicine C, Rambam Medical Center and the Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. s_edelstein@rambam.health.gov.il
Background:
Properly administered, lumbar epidural analgesia provides adequate pain relief during labor and delivery, and is considered to be a safe procedure with limited complications. The prevalence of infection after lumbar epidural analgesia is negligible.
Introduction:
Infection of the sacroiliac joint, although very close to the pucture area, has never been reported as a procedure complication.
Case:
In this report, we describe a patient who experienced bacterial sacroiliitis a few days after lumbar epidural analgesia for labor. No portal of entry was identified, and we evoked a new potential risk factor that has never been proposed before, namely lumbar epidural analgesia.
Conclusion:
Sacroiliitis must be considered as a rare but serious complication of lumbar epidural analgesia.
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