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Titolo:
Pseudomonas aeruginosa osteitis of the spinal process after peridural anesthesia
Autore:
Pham, E; Bares, Y; Brevet, F; Massip, P; Guerin, B;
Indirizzi:
CH Rodez, Serv Med Interne, Rodez, France CH Rodez Rodez FranceCH Rodez, Serv Med Interne, Rodez, France CH Rodez, Serv Accueil Urgences, Rodez, France CH Rodez Rodez FranceCH Rodez, Serv Accueil Urgences, Rodez, France CHU Purpan, Serv Malad Infect & Trop, Toulouse, France CHU Purpan Toulouse France , Serv Malad Infect & Trop, Toulouse, France
Titolo Testata:
PRESSE MEDICALE
fascicolo: 21, volume: 30, anno: 2001,
pagine: 1059 - 1061
SICI:
0755-4982(20010616)30:21<1059:PAOOTS>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
FRE
Soggetto:
EPIDURAL ABSCESS; VERTEBRAL OSTEOMYELITIS; SPONDYLITIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Pham, E Ctr Hosp Gen, Serv Med Interne, 1 Rue Combarel, F-12000 Rodez, France Ctr Hosp Gen 1 Rue Combarel Rodez France F-12000 00 Rodez, France
Citazione:
E. Pham et al., "Pseudomonas aeruginosa osteitis of the spinal process after peridural anesthesia", PRESSE MED, 30(21), 2001, pp. 1059-1061

Abstract

BACKGROUND: Osteitis of the posterior wall of the spinal canal is an exceptional complication after peridural anesthesia. Prognosis depends on early diagnosis based on clinical signs and imaging data. CASE REPORT: A 73-year-old man was hospitalized for lower back pain and fever of 3 weeks duration after a total hip arthroplasty performed under general anesthesia. Computed tomography and magnetic resonance imaging of the lumbar spine disclosed osteitis of the spinal processes Local bacteriology sample evidenced Pseudomonas aeruginosa. Outcome was favorable after a 6-month treatment. DISCUSSION: Data in the French and English literature (since 1948) on boneinfections following epidural anesthesia have included 5 cases of spondylodiscitis and 1 case of posterior wall osteitis. The diagnosis is suggested by the clinical presentation, Standard x-rays contribute little. Early diagnosis in the infraradiological phase can be obtained with bone scintigraphy. Computed tomography or magnetic resonance imaging are currently highly contributive to diagnosis and follow-up after treatment. Contamination may bedirect or via the blood stream or result from an extension of a neighboring infectious focus. Antibiotic therapy and immobilization are indicated. Rigorous application of strict aseptic procedures during lumbar puncture and use of the epidural catheter are crucial for prevention.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 04:15:46