Spondylodiscitis developing after epidural catheter use by direct contamination

Authors

• Fatih S. Erol, Firat Universitesi, Tip Fakultesi, Norosirurji Anabilim Dali, Elazig, Turkey. Tel. +90 (424) 2333555 Ext. 1180. Fax. +90 (424) 2388096. E-mail: fserol{at}yahoo.com
• Metin Kaplan, Department of Neurosurgery, Firat University, School of Medicine, Elazig, Turkey.
• Ahmet Kizirgil, Department of Clinical Microbiology, Firat University, School of Medicine, Elazig, Turkey.
• Mehmet F. Ozveren, Department of Neurosurgery, Firat University, School of Medicine, Elazig, Turkey

Abstract

Spondylodiscitis is a rare but serious complication of epidural catheter use. It is controversial as to which mechanism is responsible for development of this complication. It may develop due to direct contamination or hematogenous spreading. We report a 54-year-old woman who developed spondylodiscitis after epidural catheter was inserted and to whom analgesic and steroid treatment was given for chronic lumbar pain. In this case, each of 2 pathological mechanisms may be responsible. The diagnostic methods, mechanisms and management are discussed.

Article Type

Case Report

First Page

659

Last Page

661

Recommended Citation

Erol, Fatih S.; Kaplan, Metin; Kizirgil, Ahmet; and Ozveren, Mehmet F. (2005) "Spondylodiscitis developing after epidural catheter use by direct contamination," Saudi Medical Journal: Vol. 26: Iss. 4, Article 29.
DOI: https://doi.org/10.15537/1658-3175.2932