Case Report: Epidural Abscess Following Obstetric Epidural Anesthesia in Vietnam

Lam Nguyen

doi:10.2147/imcrj.s301536

Case Report: Epidural Abscess Following Obstetric Epidural Anesthesia in Vietnam

Lam Nguyen, Toan Vo, Van Cuong Tran, Tam Hoang, Phuoc Vu Xuan, Kha To, Ha Doan, Anh Nguyen

Đã xuất bản: 19 July 2023

Tạp chí: Informa UK Limited

ISSN: 1179-142X

Tập: Volume 14

Loại nghiên cứu: Nghiên cứu Quốc tế

DOI: 10.2147/imcrj.s301536

Tóm Tắt

Abstract Epidural abscess after obstetric epidural anesthesia occurs infrequently and may result in severe morbidity. We report a clinical case of an epidural abscess in Vietnam. A 31-year-old woman who was in labor was admitted to our hospital and given epidural anesthesia indicated to relieve labor pain. After three hours of anesthesia, cesarean section was indicated for the patient due to signs of fetal failure, the epidural catheter was then used to relieve pain for the first 48 hours postoperatively. On post-partum day 5 she presented with high fever of 39–40°C, fatigue, stimulation, dyspnea, and lumbar pain. The patient then suffered from sepsis and lower limb paralysis. She was diagnosed with epidural abscess based on the MRI of the lumbar spine. The abscess was treated by surgery for draining and appropriate antibiotics with a satisfactory outcome as she completely recovered her motor function and stable health status.

Tài liệu tham khảo

K. Makito et al., Spinal epidural hematoma and abscess after neuraxial anesthesia: a historical cohort study using the Japanese Diagnosis Procedure Combination database. Canadian Journal of Anesthesia/Journal canadien d'anesthésie. 2020; 68 :42-52. doi: 10.1007/s12630-020-01827-w
A. Manassero et al., Postoperative Thoracic Epidural Analgesia: Adverse Events from a Single-Center Series of 3126 Patients. Local and Regional Anesthesia. 2020; 13 :111 - 119. doi: 10.2147/LRA.S272410
Jun-hui Zhang et al., Cervical epidural analgesia complicated by epidural abscess. Medicine. 2017; 96 :. doi: 10.1097/MD.0000000000007789
E. Rosero et al., Nationwide incidence of serious complications of epidural analgesia in the United States. Acta Anaesthesiologica Scandinavica. 2016; 60 :. doi: 10.1111/aas.12702
S. DeFroda et al., Evaluation and management of spinal epidural abscess.. Journal of hospital medicine. 2016; 11 2 :130-5. doi: 10.1002/jhm.2506
X. Xue et al., Bacterial Infection in Deep Paraspinal Muscles in a Parturient Following Epidural Analgesia. Medicine. 2015; 94 :. doi: 10.1097/MD.0000000000002149
B. Bateman et al., The Risk and Outcomes of Epidural Hematomas After Perioperative and Obstetric Epidural Catheterization: A Report from the Multicenter Perioperative Outcomes Group Research Consortium. Anesthesia & Analgesia. 2013; 116 :1380–1385. doi: 10.1213/ANE.0b013e318251daed
T. Cook et al., Major complications of central neuraxial block: report on the Third National Audit Project of the Royal College of Anaesthetists.. British journal of anaesthesia. 2009; 102 2 :179-90. doi: 10.1093/bja/aen360
S. Tuli et al., Update on Spinal Epidural Abscess. NEJM Journal Watch. 2007; 2007 :. doi: 10.1056/JN200701020000001
Y. Y. Huang et al., A paraspinal abscess following spinal anaesthesia for caesarean section and patient-controlled epidural analgesia for postoperative pain.. International journal of obstetric anesthesia. 2005; 14 3 :252-5. doi: 10.1016/J.IJOA.2005.03.001
H. Chiang et al., Epidural abscess in an obstetric patient with patient-controlled epidural analgesia--a case report.. International journal of obstetric anesthesia. 2005; 14 3 :242-5. doi: 10.1016/J.IJOA.2004.11.003
V. Moen et al., Severe Neurological Complications after Central Neuraxial Blockades in Sweden 1990–1999. Anesthesiology. 2004; 101 :950-959. doi: 10.1097/00000542-200410000-00021
T. H. Schroeder et al., Spinal epidural abscess--a rare complication after epidural analgesia for labour and delivery.. British journal of anaesthesia. 2004; 92 6 :896-8. doi: 10.1093/BJA/AEH152
H-J Tang et al., Spinal epidural abscess--experience with 46 patients and evaluation of prognostic factors.. The Journal of infection. 2002; 45 2 :76-81. doi: 10.1053/JINF.2002.1013
M. Soehle et al., Spinal Epidural Abscesses: Clinical Manifestations, Prognostic Factors, and Outcomes. Neurosurgery. 2002; 51 :79-87. doi: 10.1097/00006123-200207000-00013
J. Sellors et al., Aseptic precautions for inserting an epidural catheter: a survey of obstetric anaesthetists. Anaesthesia. 2002; 57 :. doi: 10.1046/j.1365-2044.2002.02509_3.x
L. P. Wang et al., Long‐term outcome after neurosurgically treated spinal epidural abscess following epidural analgesia. Acta Anaesthesiologica Scandinavica. 2001; 45 :. doi: 10.1034/j.1399-6576.2001.450215.x
L. P. Wang et al., Incidence of spinal epidural abscess after epidural analgesia: a national 1-year survey.. Anesthesiology. 1999; 91 6 :1928-36. doi: 10.1097/00000542-199912000-00046
R. Dysart et al., Conservative management of extradural abscess complicating spinal-extradural anaesthesia for caesarean section.. British journal of anaesthesia. 1997; 78 5 :591-3. doi: 10.1093/BJA/78.5.591
J. Schröter et al., Epidural abscess after combined spinal-epidural block. Canadian Journal of Anaesthesia. 1997; 44 :300-304. doi: 10.1007/BF03015368
R. Khanna et al., Spinal epidural abscess: evaluation of factors influencing outcome.. Neurosurgery. 1996; 39 5 :958-64. doi: 10.1097/00006123-199611000-00016
C. R. Goucke et al., Extradural abscess following local anaesthetic and steroid injection for chronic low back pain.. British journal of anaesthesia. 1990; 65 3 :427-9. doi: 10.1093/BJA/65.3.427
R. Danner et al., Update on spinal epidural abscess: 35 cases and review of the literature.. Reviews of infectious diseases. 1987; 9 2 :265-74. doi: 10.1093/CLINIDS/9.2.265

Đã xuất bản: 19 July 2023

Tạp chí: International Medical Case Reports Journal

Nhà xuất bản: Informa UK Limited

ISSN: 1179-142X

Tập: Volume 14

Loại nghiên cứu: Nghiên cứu Quốc tế

DOI: 10.2147/imcrj.s301536

Trích dẫn bài viết này

Lam Nguyen, Toan Vo, Van Cuong Tran, Tam Hoang, Phuoc Vu Xuan, Kha To, Ha Doan, Anh Nguyen. Case Report: Epidural Abscess Following Obstetric Epidural Anesthesia in Vietnam. International Medical Case Reports Journal. 2023. Volume 14 . doi:10.2147/imcrj.s301536