Document Detail


Spontaneous methicillin-resistant Staphylococcus aureus epidural abscess in pregnancy.
MedLine Citation:
PMID:  20664432     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Epidural abscess is a rare complication of regional anesthesia, and spontaneous formation is even more uncommon. Diabetes mellitus, concomitant infection, intravenous drug use, and immune suppression are risk factors for spontaneous epidural abscess. CASE: A 29-year-old white woman presented at 28 weeks of estimated gestational age reporting an intermittent headache. She had Horner syndrome and was hospitalized. A cervicothoracic epidural abscess was diagnosed. Surgical decompression and parenteral antibiotics resulted in complete resolution of neurologic symptoms. Cultures were positive for methicillin-resistant Staphylococcus aureous. CONCLUSION: Spontaneous epidural abscess is a rare condition and diagnosis is often delayed. The finding of Horner syndrome led to imaging of the cervical spine and diagnosis of epidural abscess. Early intervention resulted in resolution of neurologic symptoms and a successful pregnancy outcome.
Authors:
Brendan D Connealy; Todd R Lovgren; Paul G Tomich; Carl V Smith; Teresa G Berg
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  116 Suppl 2     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-28     Completed Date:  2010-08-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  498-501     Citation Subset:  AIM; IM    
Affiliation:
Division of Maternal Fetal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA. bconneal@unmc.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Bacterial Agents
Decompression, Surgical
Epidural Abscess / microbiology*,  therapy*
Female
Humans
Methicillin-Resistant Staphylococcus aureus*
Pregnancy
Pregnancy Complications, Infectious / microbiology*,  therapy
Staphylococcal Infections / complications,  therapy*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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