Epidural Abscess and Vertebral Osteomyelitis Induced by Epidural Injection: A case report.

, Lee, Ju Kang; , Yim, Yoon Myung; , Lim, Oh Kyung; , Bae, Keun Hwan; , Kim, Sung Hwan; , Lee, Kwang Lae; , Choi, Chung Hwan; , Jeong, Jeom Sun

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2008;32(3):357-360.

Lee, Ju Kang , Yim, Yoon Myung , Lim, Oh Kyung , Bae, Keun Hwan , Kim, Sung Hwan , Lee, Kwang Lae , Choi, Chung Hwan , Jeong, Jeom Sun

Department of Rehabilitation, Gachon University of Medicine and Science, Korea. pm@gilhospital.com

경막외 주사 후 발생한 경막외 농양과 척추 골수염-증례 보고-

이주강, 임윤명, 임오경, 배근환, 김성환, 이광래, 최충환, 정점순

가천의과학대학교 길병원 재활의학교실

Abstract

Epidural abscess and vertebral osteomyelitis induced by epidural injection is rare but one of the most serious complications. A 58-year old woman complained of aggrevating radicular pain to bilteral lower legs, tenderness on coccygeal area and claudication, after epidural injection for management of intractable sciatica. MRI and ultrasound revealed epidural abscess compressing dural sac at the level of L5-S1 vertebral body, sacrococcygeal abscess, and later S5- 1^stcoccyx osteomyelitis. We report epidural abscess and vertebral osteomyelitis induced by caudal epidural injection. (J Korean Acad Rehab Med 2008; 32: 357-360)

Key Words: Vertebral osteomyelitis, Epidural abscess, Epidural injection