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Management of an epidural abscess after continuous epidural catheter infusion
O A Malak1, S B Mossad, N A Mekhail
1Pain Management Center, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Objective:
To increase awareness of the possibility of epidural infection after continuous epidural infusion. Outline the salient diagnostic features of epidural infection. Outline a strategy to manage epidural infection and minimize morbidity.
Setting:
Academic multidisciplinary pain clinic.
Patient:
A patient with a left knee meniscal tear with a history of Chronic Regional Pain Syndrome Type I (CRPS I) of the left foot.
Interventions:
Attempted control of CRPS I symptoms with a tunnelled epidural catheter infusion.
Results And Conclusions:
The patient developed an epidural abscess diagnosed on the 11th postoperative day. The catheter was removed and the patient was treated successfully with intravenous antibiotics.
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