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Infectious Diseases in Obstetrics and Gynecology
Volume 11 (2003), Issue 2, Pages 105-108
http://dx.doi.org/10.1080/10647440300025506

Bacterial Sacroiliitis Probably Induced by Lumbar Epidural Analgesia

Department of Internal Medicine C, Rambam Medical Center and the Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, PO Box 9602, Haifa 31096, Israel

Received 22 October 2002; Accepted 8 April 2003

Copyright © 2003 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: Properly administered, lumbar epidural analgesia provides adequate pain relief during labor and delivery, and is considered to be a safe procedure with limited complications. The prevalence of infection after lumbar epidural analgesia is negligible.

Introduction: Infection of the sacroiliac joint, although very close to the pucture area, has never been reported as a procedure complication.

Case: In this report, we describe a patient who experienced bacterial sacroiliitis a few days after lumbar epidural analgesia for labor. No portal of entry was identified, and we evoked a new potential risk factor that has never been proposed before, namely lumbar epidural analgesia.

Conclusion: Sacroiliitis must be considered as a rare but serious complication of lumbar epidural analgesia.