NDLI: Epidural abscess due to spinal cord stimulator trial.

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Epidural abscess due to spinal cord stimulator trial.

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Epidural abscess due to spinal cord stimulator trial.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Rauchwerger, Jacob J. Zoarski, Gregg H. Waghmarae, Romanth Rabinowitz, Ronald P. Kent, Joel L. Aldrich, Enslin F. Closson, Carey Walter F.
Description	Country affiliation: United States Author Affiliation: Rauchwerger JJ ( Department of Anesthesiology/Division of Pain Management, University of Maryland Medical Center, Baltimore, Maryland, USA. jacobjeffrey74@hotmail.com)
Abstract	Spinal cord stimulation is increasingly utilized as a treatment to alleviate low back pain and lumbar radiculopathy, particularly in patients with failed back surgery syndrome. We present an illustrative case of early, rapidly progressive methicillin-resistant Staphylococcus aureus (MRSA) infection after a brief stimulator trial lead implantation. Operators should maintain a high level of suspicion for deep infection, including epidural abscess, even when only minor symptoms and signs are present. Because of the poor ability to clear infections in the presence of a retained foreign body, the device must be explanted immediately. Subsequent surgical intervention, however, may nevertheless still be needed. While a variety of bacteria may cause epidural abscess, methicillin sensitive Staphylococcus aureus, and increasingly, MRSA and community-associated MRSA, are the most likely etiologic organisms.
File Format	HTM / HTML
ISSN	15307085
Issue Number	4
Volume Number	8
e-ISSN	15332500
Journal	Pain Practice
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2008-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Neurology Epidural Abscess Diagnosis Surgery Spinal Cord Diseases Transcutaneous Electric Nerve Stimulation Adverse Effects Back Pain Complications Therapy Etiology Humans Male Middle Aged Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Anesthesiology and Pain Medicine

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