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BJA Advance Access published online on January 22, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh069
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted July 16, 2003

Case Reports

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

K. T. Abaza 1 D. G. Bogod 1*

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

* To whom correspondence should be addressed. E-mail: dbogod{at}ncht.trent.nhs.uk.


  Abstract

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

Keywords: Keywords: anaesthetic techniques, regional, epidural; complications, cerebrospinal fluid cutaneous fistula


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This article has been cited by other articles:


Home page
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D. A. Blacoe, A. Ashworth, D. S. Ure, K. T. Abaza, and D. G. Bogod
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