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BJA Advance Access originally published online on January 22, 2004
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British Journal of Anaesthesia, 2004, Vol. 92, No. 3 429-431
© 2004 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Cerebrospinal fluid-cutaneous fistula and pseudomonas meningitis complicating thoracic epidural analgesia

K. T. Abaza and D. G. Bogod*

Department of Anaesthesia, Nottingham City Hospital NHS, Hucknall Road, Nottingham NG5 1PB, UK

*Corresponding author. E-mail: dbogod@ncht.trent.nhs.uk

We report a case of delayed cerebrospinal fluid-cutaneous fistula that developed in a patient following removal of a thoracic epidural catheter used for perioperative analgesia. It was further complicated by the development of bacterial meningitis. Predisposing factors and management of this rare iatrogenic complication are discussed and the literature reviewed for similar reports.

Br J Anaesth 2004; 92: 429–31


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D. A. Blacoe, A. Ashworth, D. S. Ure, K. T. Abaza, and D. G. Bogod
Infective complications of thoracic epidural
Br. J. Anaesth., July 1, 2004; 93(1): 149 - 150.
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