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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
Journal of the Korean Academy of Rehabilitation Medicine 2008;32(3):357-360.
Department of Rehabilitation, Gachon University of Medicine and Science, Korea. pm@gilhospital.com
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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- 1stcoccyx osteomyelitis. We report epidural abscess and vertebral osteomyelitis induced by caudal epidural injection. (J Korean Acad Rehab Med 2008; 32: 357-360)

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