Epidural abscess after epidural catheter for pain release during pancreatitis |
| |
Authors: | Heller A R Ragaller M Koch T |
| |
Affiliation: | Department of Anaesthesiology and Intensive Care Medicine, University Hospital Carl Gustav Carus, Dresden, Germany. heller-a@rcs.urz.tu-dresden.de |
| |
Abstract: | BACKGROUND: Despite knowledge about compromised host defence in the course of diabetes mellitus and pancreatitis, epidural analgesia (EA) is recommended for pain management during pancreatitis. CASE REPORT: 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. CONCLUSION: We suggest that the combination of pancreatitis, diabetes and compromised immunity might be a contraindication to epidural analgesia. |
| |
Keywords: | Epidural catheter epidural abscess epidural hematoma pancreatitis diabetes immune deficiency natural killer cells |
本文献已被 PubMed 等数据库收录! |
|