Disseminated Staphylococcus aureus infection following spinal anesthesia: a case report
Abstract We here presented a 65-year-old woman with disseminated Staphylococcus aureus infection following spinal anesthesia. The patient underwent spinal anesthesia for great saphenous vein stripping. Twenty days after the procedure, the patient developed hydrocephalus, pulmonary infection, and epi...
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| Veröffentlicht in: | Journal of clinical anesthesia 2016-09, Vol.33, p.438-441 |
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| creator | Zhang, Zhongheng, MMed Xu, Xiao, MSc Ni, Hongying, MMed |
| description | Abstract We here presented a 65-year-old woman with disseminated Staphylococcus aureus infection following spinal anesthesia. The patient underwent spinal anesthesia for great saphenous vein stripping. Twenty days after the procedure, the patient developed hydrocephalus, pulmonary infection, and epidural abscess. Microbiological culture of the pus showed infection by S aureus. Appropriate antibiotic therapy and prompt surgical abscess drainage were associated with good outcome. Hydrocephalus is thought to be associated with arachnoiditis caused by S aureus infection, which provides new insights into the pathophysiology of arachnoiditis. Here we reported a case of disseminated S aureus infection following spinal anesthesia, implicating that appropriate interventions should not be delayed for waiting for the microbiological results. |
| doi_str_mv | 10.1016/j.jclinane.2016.04.028 |
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The patient underwent spinal anesthesia for great saphenous vein stripping. Twenty days after the procedure, the patient developed hydrocephalus, pulmonary infection, and epidural abscess. Microbiological culture of the pus showed infection by S aureus. Appropriate antibiotic therapy and prompt surgical abscess drainage were associated with good outcome. Hydrocephalus is thought to be associated with arachnoiditis caused by S aureus infection, which provides new insights into the pathophysiology of arachnoiditis. Here we reported a case of disseminated S aureus infection following spinal anesthesia, implicating that appropriate interventions should not be delayed for waiting for the microbiological results.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2016.04.028</identifier><identifier>PMID: 27555207</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abscess - surgery ; Aged ; Anesthesia ; Anesthesia & Perioperative Care ; Anesthesia, Spinal - adverse effects ; Anti-Bacterial Agents - therapeutic use ; Arachnoiditis - etiology ; Arachnoiditis - surgery ; Back pain ; Blood pressure ; Cardiac arrhythmia ; Case report ; Case reports ; Coma ; Drainage ; Epidural Abscess ; Female ; Heart rate ; Humans ; Hydrocephalus - etiology ; Hydrocephalus - surgery ; Infections ; Iodine ; Nervous system ; NMR ; Nuclear magnetic resonance ; Pain Medicine ; Patients ; Postoperative Complications - etiology ; Postoperative Complications - microbiology ; Postoperative Complications - surgery ; Saphenous Vein - surgery ; Sepsis ; Spinal anesthesia ; Staphylococcal Infections - etiology ; Staphylococcal Infections - microbiology ; Staphylococcal Infections - surgery ; Staphylococcus aureus</subject><ispartof>Journal of clinical anesthesia, 2016-09, Vol.33, p.438-441</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Sep 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-86cb41fc0211e1b26429d6bea04c50c3eac1a435b644cdc81d3934955bd08b923</citedby><cites>FETCH-LOGICAL-c484t-86cb41fc0211e1b26429d6bea04c50c3eac1a435b644cdc81d3934955bd08b923</cites><orcidid>0000-0002-2336-5323</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1831323135?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994,64384,64386,64388,72240</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27555207$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Zhongheng, MMed</creatorcontrib><creatorcontrib>Xu, Xiao, MSc</creatorcontrib><creatorcontrib>Ni, Hongying, MMed</creatorcontrib><title>Disseminated Staphylococcus aureus infection following spinal anesthesia: a case report</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>Abstract We here presented a 65-year-old woman with disseminated Staphylococcus aureus infection following spinal anesthesia. The patient underwent spinal anesthesia for great saphenous vein stripping. Twenty days after the procedure, the patient developed hydrocephalus, pulmonary infection, and epidural abscess. Microbiological culture of the pus showed infection by S aureus. Appropriate antibiotic therapy and prompt surgical abscess drainage were associated with good outcome. Hydrocephalus is thought to be associated with arachnoiditis caused by S aureus infection, which provides new insights into the pathophysiology of arachnoiditis. Here we reported a case of disseminated S aureus infection following spinal anesthesia, implicating that appropriate interventions should not be delayed for waiting for the microbiological results.</description><subject>Abscess - surgery</subject><subject>Aged</subject><subject>Anesthesia</subject><subject>Anesthesia & Perioperative Care</subject><subject>Anesthesia, Spinal - adverse effects</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Arachnoiditis - etiology</subject><subject>Arachnoiditis - surgery</subject><subject>Back pain</subject><subject>Blood pressure</subject><subject>Cardiac arrhythmia</subject><subject>Case report</subject><subject>Case reports</subject><subject>Coma</subject><subject>Drainage</subject><subject>Epidural Abscess</subject><subject>Female</subject><subject>Heart rate</subject><subject>Humans</subject><subject>Hydrocephalus - etiology</subject><subject>Hydrocephalus - surgery</subject><subject>Infections</subject><subject>Iodine</subject><subject>Nervous system</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Pain Medicine</subject><subject>Patients</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - microbiology</subject><subject>Postoperative Complications - surgery</subject><subject>Saphenous Vein - surgery</subject><subject>Sepsis</subject><subject>Spinal anesthesia</subject><subject>Staphylococcal Infections - etiology</subject><subject>Staphylococcal Infections - microbiology</subject><subject>Staphylococcal Infections - surgery</subject><subject>Staphylococcus aureus</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkk1v1DAQhi0EokvhL1SRuHBJ8Pgj63BAVOVTqsShII6WM5lQh2y82Alo_z0O24LUCxyskeVn3vl4zdgZ8Ao41M-HasDRT26iSuR7xVXFhbnHNmC2slRaNPfZhjdalAYMP2GPUho45_kBHrITsdVaC77dsC-vfUq0y0ozdcXV7PbXhzFgQFxS4ZZIOfipJ5x9mIo-jGP46aevRdrnlLHI9dN8Tcm7F4Ur0CUqIu1DnB-zB70bEz25iafs89s3ny7el5cf3324OL8sURk1l6bGVkGPXAAQtKJWounqlhxXqDlKcghOSd3WSmGHBjrZSNVo3XbctI2Qp-zZUXcfw_clN2N3PiGNY-4sLMmCkVspdWPq_0BBgeKNhIw-vYMOYYl54N-CIEU-OlP1kcIYUorU2330OxcPFrhdXbKDvXXJri5Zrmx2KSee3cgv7Y66P2m3tmTg1RGgvLofnqJN6GlC6nzMVtgu-H_XeHlHYqU8uvEbHSj9nccmYbm9Wv_K-lWgljxvQclfILG7AQ</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>Zhang, Zhongheng, MMed</creator><creator>Xu, Xiao, MSc</creator><creator>Ni, Hongying, MMed</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>7QL</scope><scope>7QO</scope><scope>7U7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><orcidid>https://orcid.org/0000-0002-2336-5323</orcidid></search><sort><creationdate>20160901</creationdate><title>Disseminated Staphylococcus aureus infection following spinal anesthesia: a case report</title><author>Zhang, Zhongheng, MMed ; Xu, Xiao, MSc ; Ni, Hongying, MMed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-86cb41fc0211e1b26429d6bea04c50c3eac1a435b644cdc81d3934955bd08b923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abscess - surgery</topic><topic>Aged</topic><topic>Anesthesia</topic><topic>Anesthesia & Perioperative Care</topic><topic>Anesthesia, Spinal - adverse effects</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Arachnoiditis - etiology</topic><topic>Arachnoiditis - surgery</topic><topic>Back pain</topic><topic>Blood pressure</topic><topic>Cardiac arrhythmia</topic><topic>Case report</topic><topic>Case reports</topic><topic>Coma</topic><topic>Drainage</topic><topic>Epidural Abscess</topic><topic>Female</topic><topic>Heart rate</topic><topic>Humans</topic><topic>Hydrocephalus - etiology</topic><topic>Hydrocephalus - surgery</topic><topic>Infections</topic><topic>Iodine</topic><topic>Nervous system</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Pain Medicine</topic><topic>Patients</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - microbiology</topic><topic>Postoperative Complications - surgery</topic><topic>Saphenous Vein - surgery</topic><topic>Sepsis</topic><topic>Spinal anesthesia</topic><topic>Staphylococcal Infections - etiology</topic><topic>Staphylococcal Infections - microbiology</topic><topic>Staphylococcal Infections - surgery</topic><topic>Staphylococcus aureus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Zhongheng, MMed</creatorcontrib><creatorcontrib>Xu, Xiao, MSc</creatorcontrib><creatorcontrib>Ni, Hongying, MMed</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - 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The patient underwent spinal anesthesia for great saphenous vein stripping. Twenty days after the procedure, the patient developed hydrocephalus, pulmonary infection, and epidural abscess. Microbiological culture of the pus showed infection by S aureus. Appropriate antibiotic therapy and prompt surgical abscess drainage were associated with good outcome. Hydrocephalus is thought to be associated with arachnoiditis caused by S aureus infection, which provides new insights into the pathophysiology of arachnoiditis. Here we reported a case of disseminated S aureus infection following spinal anesthesia, implicating that appropriate interventions should not be delayed for waiting for the microbiological results.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27555207</pmid><doi>10.1016/j.jclinane.2016.04.028</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-2336-5323</orcidid></addata></record> |
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| ispartof | Journal of clinical anesthesia, 2016-09, Vol.33, p.438-441 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland |
| subjects | Abscess - surgery Aged Anesthesia Anesthesia & Perioperative Care Anesthesia, Spinal - adverse effects Anti-Bacterial Agents - therapeutic use Arachnoiditis - etiology Arachnoiditis - surgery Back pain Blood pressure Cardiac arrhythmia Case report Case reports Coma Drainage Epidural Abscess Female Heart rate Humans Hydrocephalus - etiology Hydrocephalus - surgery Infections Iodine Nervous system NMR Nuclear magnetic resonance Pain Medicine Patients Postoperative Complications - etiology Postoperative Complications - microbiology Postoperative Complications - surgery Saphenous Vein - surgery Sepsis Spinal anesthesia Staphylococcal Infections - etiology Staphylococcal Infections - microbiology Staphylococcal Infections - surgery Staphylococcus aureus |
| title | Disseminated Staphylococcus aureus infection following spinal anesthesia: a case report |
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