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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(3):455-458.
Epidural Abscess and Pyogenic Arthritis of Knee Joint in One Family after Epidural Injection.
Seo, Jeong Hwan , Kim, Kwan min , Ko, Myoung Hwan
1Department of Rehabilitation Medicine, Chonbuk National University Medical School, Korea. 604-5854@hanmail.net
2Research Institute of Clinical Medicine, Chonbuk National University Medical School, Korea.
경막외 주사 후 한 가족 내에서 발생한 경막외 농양과 화농성 슬관절염 ⁣증례보고⁣
서정환, 김관민, 고명환
전북대학교 의과대학 재활의학교실 및 임상의학연구소
Abstract
A mother-in-law and a daughter-in-law suffered chronic low back pain and they were injected epidural steroid on same day. Eleven days after injection, the daughter-in-law showed weakness of right lower extremity and lost filling sensation of bladder. Radiologic findings of Magnetic Resonance Imaging for lumbar spine revealed epidural abscess encompassing from L1 to sacral spine. After emergency surgical procedure and antibiotics therapy, the symptoms and the signs disappeared. Seven days after injection, the mother-in- law was diagnosed as pyogenic arthritis of right knee joint and then epidural abscess. Although the surgical procedure for right knee joint and antibiotics therapy were done, the epidural abscess didn't disappear. Moreover, surgical procedure for the epidural abscess couldn't be done due to septic condition, which was the cause of death. We report two cases of epidural abscess showing the importance of early management and serious end result. Prevention of these complication through extreme caution is needed. (J Korean Acad Rehab Med 2003; 27: 455-458)
Key Words: Epidural abscess, Epidural steroid injection, Pyogenic arthritis
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