Abstract
We describe a patient with an intrathecal drug delivery system (IDDS) for management of chronic back pain who developed worsening pain symptoms associated with an infected catheter tip, identified years after initial implantation. A 72-year-old woman had an IDDS initially implanted for management of chronic back pain. Years later, after suffering a vertebral compression fracture, workup revealed magnetic resonance imaging (MRI) findings suggestive of infection despite unremarkable laboratory findings. Her pain worsened, and after explantation of the IDDS, methicillin-resistant Staphylococcus aureus colonized the catheter tip. Worsening pain symptoms in a patient with intrathecal morphine pump must be met with a broad differential diagnosis.
Original language | English (US) |
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Pages (from-to) | e01272 |
Journal | A&A practice |
Volume | 14 |
Issue number | 9 |
DOIs | |
State | Published - Jul 1 2020 |
ASJC Scopus subject areas
- General Medicine