Case Report: Epidural Abscess Following Obstetric Epidural Anesthesia in Vietnam

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. A...

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Bibliographic Details
Published in:International medical case reports journal 2021-01, Vol.14, p.301-305
Main Authors: Nguyen, Lam Duc, Vo, Toan Thanh, Tran, Cuong Van, Hoang, Tam Thi-Thanh, Vu, Phuoc Xuan, To, Kha Dong, Doan, Ha Thi-Ngoc, Nguyen, Anh Duy
Format: Article
Language:English
Subjects:
Abdomen
Abscess
Abscesses
analgesia
Anesthesia
Antibiotics
Back pain
Bacteria
Blood
Bupivacaine
Case Report
Case reports
Catheters
Cesarean section
Dyspnea
Epidural
epidural abscess
Fentanyl
Fever
Health aspects
Intubation
Muscle strength
Obstetrics
Patients
Risk factors
Staphylococcus infections
Surgery
Womens health
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Summary: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.
ISSN:1179-142X
1179-142X
DOI:10.2147/IMCRJ.S301536