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British Journal of Anaesthesia, 1993, Vol. 70, No. 3 368-369
© 1993 The Board of Management and Trustees of the British Journal of Anaesthesia


case-report

DELAYED PRESENTATION OF AN EXTRADURAL ABSCESS IN A PATIENT WITH ALCOHOL ABUSE

O. NORDSTRÖ, M.D and R. SANDIN, M.D

Department of Anaesthesia, Lanssjukhuset S-391 85 Kalmar, Sweden

Three cases of extradural abscess with delayed presentation after extradural analgesia have been reported previously. The present report describes a patient with alcohol abuse who was treated for 5 days with extradural injections of bupivacaine for pain from multiple rib fractures. The first symptoms of an extradural abscess developed approximately 11 days after removal of the extradural catheter, and definite diagnosis was delayed a further 7 days. (Br. J. Anaesth. 1993; 70: 368–369)


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