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Epidural abscess after epidural catheter for pain release during pancreatitis

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Background:

Despite knowledge about compromised host defence in the course of diabetes mellitus and pancreatitis, epidural analgesia (EA) is recommended for pain management during pancreatitis. Case report:

We present the case of a diabetic patient with pancreatitis who developed an epidural abscess after 3 days with an epidural catheter. Natural killer and T-helper cell counts were distinctively reduced in the absence of HIV serology. Furthermore, a synthesis failure of the liver was observed and evidenced by low cholinesterase, low whole protein fraction and low antithrombin III in the peripheral blood. Conclusion:

We suggest that the combination of pancreatitis, diabetes and compromised immunity might be a contraindication to epidural analgesia.
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Keywords: Epidural catheter; diabetes; epidural abscess; epidural hematoma; immune deficiency; natural killer cells; pancreatitis

Document Type: Research Article

Publication date: 01 September 2000

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