Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2006-7-24
pubmed:abstractText
In the case reported, neurological complaints were pain and dysaesthesiae in the lower back and thigh, as well as paresis of the ileopsoas muscle. MRI of the lumbar spine showed an intradural-extramedullary mass at the level of L1 homogeneously enhancing with gadolinium. This mass was situated at the tip of an intrathecal catheter implanted 11 years before for a morphine trial infusion as therapy for phantom pain after amputation of the right arm. Now, removal of the catheter was performed. Cultures of lumbar CSF and the catheter tip demonstrated coagulase negative staphylococcus. Antibiotic medication with cephalosporines was given for 6 weeks. After removal of the catheter, the patient was free of pain and he progressively regained full neurological function. Although most catheter-associated granulomas reported so far were sterile in nature, bacterial infection should still be considered even years after catheter placement.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0001-6268
pubmed:author
pubmed:issnType
Print
pubmed:volume
148
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
899-901; discussion 901
pubmed:dateRevised
2009-11-11
pubmed:meshHeading
pubmed-meshheading:16791432-Adult, pubmed-meshheading:16791432-Anti-Bacterial Agents, pubmed-meshheading:16791432-Catheters, Indwelling, pubmed-meshheading:16791432-Dura Mater, pubmed-meshheading:16791432-Epidural Space, pubmed-meshheading:16791432-Granuloma, pubmed-meshheading:16791432-Humans, pubmed-meshheading:16791432-Infusion Pumps, Implantable, pubmed-meshheading:16791432-Injections, Spinal, pubmed-meshheading:16791432-Low Back Pain, pubmed-meshheading:16791432-Lumbar Vertebrae, pubmed-meshheading:16791432-Magnetic Resonance Imaging, pubmed-meshheading:16791432-Male, pubmed-meshheading:16791432-Neurosurgical Procedures, pubmed-meshheading:16791432-Pain, Intractable, pubmed-meshheading:16791432-Phantom Limb, pubmed-meshheading:16791432-Spinal Cord Compression, pubmed-meshheading:16791432-Staphylococcal Infections, pubmed-meshheading:16791432-Subarachnoid Space, pubmed-meshheading:16791432-Surgical Wound Infection, pubmed-meshheading:16791432-Treatment Outcome
pubmed:year
2006
pubmed:articleTitle
Late bacterial granuloma at an intrathecal drug delivery catheter.
pubmed:affiliation
Department of Neurosurgery, Albert-Ludwigs-University, Freiburg, Germany. lehmberg@nz.ukl.uni-freiburg.de
pubmed:publicationType
Journal Article, Case Reports