Case Report: Epidural Abscess Following Obstetric Epidural Anesthesia in Vietnam
Lam Duc Nguyen,1 Toan Thanh Vo,2 Cuong Van Tran,1 Tam Thi-Thanh Hoang,1 Phuoc Xuan Vu,3 Kha Dong To,4,5 Ha Thi-Ngoc Doan,1 Anh Duy Nguyen6 1Hanoi Medical University, Hanoi, Vietnam; 2Thong Nhat Hospital, Ho Chi Minh City, Vietnam; 3Bach Mai Hospital, Hanoi, Vietnam; 4School of Medicine, Vietnam Nati...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2021-05-01
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| Series: | International Medical Case Reports Journal |
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| Online Access: | https://www.dovepress.com/case-report-epidural-abscess-following-obstetric-epidural-anesthesia-i-peer-reviewed-fulltext-article-IMCRJ |
| _version_ | 1818640749454950400 |
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| author | Nguyen LD Vo TT Tran CV Hoang TT Vu PX To KD Doan HT Nguyen AD |
| author_facet | Nguyen LD Vo TT Tran CV Hoang TT Vu PX To KD Doan HT Nguyen AD |
| author_sort | Nguyen LD |
| collection | DOAJ |
| description | Lam Duc Nguyen,1 Toan Thanh Vo,2 Cuong Van Tran,1 Tam Thi-Thanh Hoang,1 Phuoc Xuan Vu,3 Kha Dong To,4,5 Ha Thi-Ngoc Doan,1 Anh Duy Nguyen6 1Hanoi Medical University, Hanoi, Vietnam; 2Thong Nhat Hospital, Ho Chi Minh City, Vietnam; 3Bach Mai Hospital, Hanoi, Vietnam; 4School of Medicine, Vietnam National University Ho Chi Minh City, Ho Chi Minh City, Vietnam; 5Vietnam National University Ho Chi Minh City, Ho Chi Minh City, Vietnam; 6Hanoi Obstetrics and Gynecology Hospital, Hanoi, VietnamCorrespondence: Toan Thanh VoThong Nhat Hospital, 1 Ly Thuong Kiet Street, Ward 7 Tan Binh District, Ho Chi Minh City, 700000, VietnamTel +84918554748Email vothanhtoan1990@yahoo.comAbstract: Epidural abscess after obstetric epidural anesthesia occurs infrequently and may result in severe morbidity. We report a clinical case of an epidural abscess in Vietnam. A 31-year-old woman who was in labor was admitted to our hospital and given epidural anesthesia indicated to relieve labor pain. After three hours of anesthesia, cesarean section was indicated for the patient due to signs of fetal failure, the epidural catheter was then used to relieve pain for the first 48 hours postoperatively. On post-partum day 5 she presented with high fever of 39– 40°C, fatigue, stimulation, dyspnea, and lumbar pain. The patient then suffered from sepsis and lower limb paralysis. She was diagnosed with epidural abscess based on the MRI of the lumbar spine. The abscess was treated by surgery for draining and appropriate antibiotics with a satisfactory outcome as she completely recovered her motor function and stable health status.Keywords: epidural abscess, analgesia, cesarean section |
| first_indexed | 2024-12-16T23:16:13Z |
| format | Article |
| id | doaj.art-f2fa7d52589b4229bf3984cbcfc917f0 |
| institution | Directory Open Access Journal |
| issn | 1179-142X |
| language | English |
| last_indexed | 2024-12-16T23:16:13Z |
| publishDate | 2021-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Medical Case Reports Journal |
| spelling | doaj.art-f2fa7d52589b4229bf3984cbcfc917f02022-12-21T22:12:18ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2021-05-01Volume 1430130564702Case Report: Epidural Abscess Following Obstetric Epidural Anesthesia in VietnamNguyen LDVo TTTran CVHoang TTVu PXTo KDDoan HTNguyen ADLam Duc Nguyen,1 Toan Thanh Vo,2 Cuong Van Tran,1 Tam Thi-Thanh Hoang,1 Phuoc Xuan Vu,3 Kha Dong To,4,5 Ha Thi-Ngoc Doan,1 Anh Duy Nguyen6 1Hanoi Medical University, Hanoi, Vietnam; 2Thong Nhat Hospital, Ho Chi Minh City, Vietnam; 3Bach Mai Hospital, Hanoi, Vietnam; 4School of Medicine, Vietnam National University Ho Chi Minh City, Ho Chi Minh City, Vietnam; 5Vietnam National University Ho Chi Minh City, Ho Chi Minh City, Vietnam; 6Hanoi Obstetrics and Gynecology Hospital, Hanoi, VietnamCorrespondence: Toan Thanh VoThong Nhat Hospital, 1 Ly Thuong Kiet Street, Ward 7 Tan Binh District, Ho Chi Minh City, 700000, VietnamTel +84918554748Email vothanhtoan1990@yahoo.comAbstract: Epidural abscess after obstetric epidural anesthesia occurs infrequently and may result in severe morbidity. We report a clinical case of an epidural abscess in Vietnam. A 31-year-old woman who was in labor was admitted to our hospital and given epidural anesthesia indicated to relieve labor pain. After three hours of anesthesia, cesarean section was indicated for the patient due to signs of fetal failure, the epidural catheter was then used to relieve pain for the first 48 hours postoperatively. On post-partum day 5 she presented with high fever of 39– 40°C, fatigue, stimulation, dyspnea, and lumbar pain. The patient then suffered from sepsis and lower limb paralysis. She was diagnosed with epidural abscess based on the MRI of the lumbar spine. The abscess was treated by surgery for draining and appropriate antibiotics with a satisfactory outcome as she completely recovered her motor function and stable health status.Keywords: epidural abscess, analgesia, cesarean sectionhttps://www.dovepress.com/case-report-epidural-abscess-following-obstetric-epidural-anesthesia-i-peer-reviewed-fulltext-article-IMCRJepidural abscessanalgesiacesarean section |
| spellingShingle | Nguyen LD Vo TT Tran CV Hoang TT Vu PX To KD Doan HT Nguyen AD Case Report: Epidural Abscess Following Obstetric Epidural Anesthesia in Vietnam International Medical Case Reports Journal epidural abscess analgesia cesarean section |
| title | Case Report: Epidural Abscess Following Obstetric Epidural Anesthesia in Vietnam |
| title_full | Case Report: Epidural Abscess Following Obstetric Epidural Anesthesia in Vietnam |
| title_fullStr | Case Report: Epidural Abscess Following Obstetric Epidural Anesthesia in Vietnam |
| title_full_unstemmed | Case Report: Epidural Abscess Following Obstetric Epidural Anesthesia in Vietnam |
| title_short | Case Report: Epidural Abscess Following Obstetric Epidural Anesthesia in Vietnam |
| title_sort | case report epidural abscess following obstetric epidural anesthesia in vietnam |
| topic | epidural abscess analgesia cesarean section |
| url | https://www.dovepress.com/case-report-epidural-abscess-following-obstetric-epidural-anesthesia-i-peer-reviewed-fulltext-article-IMCRJ |
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