+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Transverse myelitis associated with Acinetobacter baumanii intrathecal pump catheter-related infection



Transverse myelitis associated with Acinetobacter baumanii intrathecal pump catheter-related infection



Regional Anesthesia and Pain Medicine 28(5): 470-474



Objective: To describe a late neurologic complication of intrathecal pump implantation and show the methods used for the diagnosis and successful treatment of transverse myelitis in this setting. Case Report: A 32-year-old man with a chronic abdominal pain syndrome presented with right lower-extremity numbness 2 months after the placement of an intrathecal morphine pump. This progressed to bilateral lower extremity and ascending sensory loss to T12-L1 dermatome, significant lower-extremity weakness, constipation with overflow incontinence, and detrusor instability causing urinary incontinence in discrete episodes over the following 2 months consistent with a myelopathy. Magnetic resonance imaging (MRI) of the thoracic spine and cerebrospinal fluid (CSF) analysis were consistent with transverse myelitis. The intrathecal pump was removed and an Acinetobacter baumanii catheter-tip infection was diagnosed. Clinical course improved with the co-administration of intravenous corticosteroids and antibiotics, with significant clinical improvement within 30 days. Conclusions: Clinicians should recognize transverse myelitis as a possible late complication of intrathecal pump placement. Early medical intervention and removal of the intrathecal pump may be necessary to prevent irreversible spinal cord damage and may support good recovery.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 012708024

Download citation: RISBibTeXText

PMID: 14556140

DOI: 10.1016/s1098-7339(03)00222-0


Related references

Transverse Myelitis Associated With Acinetobacter baumanii Intrathecal Pump Catheter-related Infection. Regional Anesthesia and Pain Medicine 28(5): 470-474, 2003

Transverse myelitis associated with Acinetobacter baumanii intrathecal pump catheter-related infection. Where was the source of the infection?. Regional Anesthesia and Pain Medicine 29(5): 503-4; Author Reply 504-5, 2004

Transverse myelitis associated with intrathecal pump catheter-related infection. Where was the source of the infection?. Regional Anesthesia and Pain Medicine 29(5): 503-504, 2004

Effective management of intractable neuropathic pain using an intrathecal morphine pump in a patient with acute transverse myelitis. Neuropsychiatric Disease and Treatment 9: 1023-1028, 2013

Vascular Catheter--Related Bloodstream Infection Due to Acinetobacter johnsonii (Formerly Acinetobacter calcoaceticus var. lwoffii): Report of 13 Cases. Clinical Infectious Diseases 17(4): 632-636, 1993

Vascular catheter-related bloodstream infection due to Acinetobacter johnsonii (formerly Acinetobacter calcoaceticus var. lwoffii): Report of 13 cases. Clinical Infectious Diseases 17(4): 632-636, 1993

Post-neurosurgical meningitis due to multidrug-resistant Acinetobacter baumanii treated with intrathecal colistin: case report and review of the literature. Journal of ChemoTherapy 18(5): 554-558, 2006

Acinetobacter baumanii line-associated infection. Heart and Lung 29(3): 222-224, 2000

Infection of burn wound with Acinetobacter baumanii. Medycyna Doswiadczalna i Mikrobiologia 46(3): 161-167, 1994

Acinetobacter baumanii-associated arterial line infection. American Journal of Infection Control 28(5): 376-377, 2000

Epidemic caused by a multiresistant Acinetobacter baumanii infection; MRSA incognito. Nederlands Tijdschrift Voor Geneeskunde 143(15): 818-819, 1999

Conservative treatment of an early aortic graft infection due to Acinetobacter baumanii. Annals of Vascular Surgery 20(3): 415-417, 2006

Intrathecal catheter-syringe adaptor for short-term intrathecal analgesia with an externalized pump: a case report. Pain Physician 13(2): 151-156, 2010

Holy water associated pulmonary infection with a multiresistant Acinetobacter baumanii in an 11-year-old child. Klinische Padiatrie 225(1): 43-44, 2013

Risk factors and outcome of Acinetobacter baumanii infection in severe trauma patients. Intensive Care Medicine 35(11): 1964-1969, 2010