What question did this study set out to answer?

To describe the clinical presentation and conservative management of an infected spinal hematoma following the accidental exteriorization of an epidural catheter.

October 26, 2023CureusOpen Access

Infected Spinal Hematoma After Accidental Exteriorization of an Epidural Catheter: A Case Report

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Authors

FOFlávia OliveiraHospital de São João DFDiana FonsecaHospital de São João MFMariana FernandesUniversidade de São Paulo

Discussion

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Implication

Case report demonstrates successful conservative management of an infected spinal hematoma without neurological deficits in a 51-year-old male, highlighting the role of close monitoring.

Key Points

To describe the clinical presentation and conservative management of an infected spinal hematoma following the accidental exteriorization of an epidural catheter.
Clinical assessment and urgent dorsolumbar MRI were performed on a 51-year-old male presenting with acute back pain and meningeal signs following accidental epidural catheter removal.
A conservative treatment protocol was applied, consisting of absolute bed rest, cessation of low-molecular-weight heparin, empirical antibiotic therapy, and hourly neurological monitoring.
Urgent dorsolumbar MRI confirmed an anterior epidural and subdural collection without initial sensorimotor deficits, with microbiological cultures subsequently isolating Citrobacter koseri.
The patient achieved complete symptom resolution by day three post-MRI, follow-up CT confirmed no spinal cord compression, and hospital discharge occurred without neurological sequelae on day 27.

Cite This Study

Oliveira et al. (2023) studied this question.

synapsesocial.com/papers/6a870f0f24dcec08efbf041c https://doi.org/10.7759/cureus.47722

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Implication

Case report demonstrates successful conservative management of an infected spinal hematoma without neurological deficits in a 51-year-old male, highlighting the role of close monitoring.

Infected Spinal Hematoma After Accidental Exteriorization of an Epidural Catheter: A Case Report

Discussion

Member takes

Implication

Key Points

Cite This Study

Infected Spinal Hematoma After Accidental Exteriorization of an Epidural Catheter: A Case Report

Discussion

Member takes

Implication

Key Points

Cite This Study

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