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- Title
Epidural abscess after epidural catheter for pain release during pancreatitis.
- Authors
Heller, A. R.; Ragaller, M.; Koch, T.
- Abstract
<bold>Background: </bold>Despite knowledge about compromised host defence in the course of diabetes mellitus and pancreatitis, epidural analgesia (EA) is recommended for pain management during pancreatitis.<bold>Case Report: </bold>We present the case of a diabetic patient with pancreatitis who developed an epidural abscess after 3 days with an epidural catheter. Natural killer and T-helper cell counts were distinctively reduced in the absence of HIV serology. Furthermore, a synthesis failure of the liver was observed and evidenced by low cholinesterase, low whole protein fraction and low antithrombin III in the peripheral blood.<bold>Conclusion: </bold>We suggest that the combination of pancreatitis, diabetes and compromised immunity might be a contraindication to epidural analgesia.
- Subjects
EPIDURAL analgesia; PANCREATITIS; DIABETES complications; PAIN management; ABSCESSES; COMPUTED tomography; HEMATOMA; MAGNETIC resonance imaging; SPINE diseases; PAIN; DISEASE complications
- Publication
Acta Anaesthesiologica Scandinavica, 2000, Vol 44, Issue 8, p1024
- ISSN
0001-5172
- Publication type
journal article
- DOI
10.1034/j.1399-6576.2000.440823.x