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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 Tháng Bảy 2023

Tạp chí: Informa UK Limited

ISSN: 1179-142X

Tập: Volume 14

Loại nghiên cứu: Nghiên cứu Quốc tế

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

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Đã xuất bản: 19 Tháng Bảy 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

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