{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T06:27:19Z","timestamp":1785824839114,"version":"3.56.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,8,5]]},"abstract":"<jats:p>We present a case of a patient with a spinal epidural abscess (SEA) and meningitis following short-term epidural catheterisation for postoperative pain relief after a laparoscopic sigmoid resection. On the fifth postoperative day, 2\u2005days after removal of the epidural catheter, the patient developed high fever, leucocytosis and elevated C reactive protein. Blood cultures showed a methicillin-sensitive <jats:italic>Staphylococcus aureus<\/jats:italic> infection. A photon emission tomography scan revealed increased activity of the spinal canal, suggesting <jats:italic>S. aureus<\/jats:italic> meningitis. A gadolinium-enhanced MRI showed a SEA that was localised at the epidural catheter insertion site. Conservative management with intravenous flucloxacillin was initiated, as no neurological deficits were seen. At last follow-up, 8\u2005weeks postoperatively, the patient showed complete recovery.<\/jats:p>","DOI":"10.1136\/bcr-2015-210867","type":"journal-article","created":{"date-parts":[[2015,8,20]],"date-time":"2015-08-20T13:02:04Z","timestamp":1440075724000},"page":"bcr2015210867","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Spinal epidural abscess and meningitis following short-term epidural catheterisation for postoperative analgaesia"],"prefix":"10.1136","volume":"2015","author":[{"given":"Juliaan R M","family":"van Rappard","sequence":"first","affiliation":[{"name":"Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jip L","family":"Tolenaar","sequence":"additional","affiliation":[{"name":"Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke B","family":"Smits","sequence":"additional","affiliation":[{"name":"Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter M N Y H","family":"Go","sequence":"additional","affiliation":[{"name":"Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,8,20]]},"reference":[{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200209000-00005"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000094300.36689.ad"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.3","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/64.5.537"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.4","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200410000-00021"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.5","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199912000-00046"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra055111"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.7","doi-asserted-by":"publisher","DOI":"10.3171\/2013.3.SPINE12762"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.8","doi-asserted-by":"publisher","DOI":"10.1007\/PL00011954"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.1998.tb05291.x"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.10","doi-asserted-by":"publisher","DOI":"10.1007\/s007010050002"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.11","doi-asserted-by":"publisher","DOI":"10.1179\/107902610x12883422813507"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-3019(99)00055-5"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.13","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199008000-00001"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.14","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2004.17.2.3"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2003.11.013"},{"key":"2025082706484748000_2015.aug20_1.bcr2015210867.16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2008.01712.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-210867","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T13:48:52Z","timestamp":1756302532000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-210867"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,20]]},"references-count":16,"alternative-id":["10.1136\/bcr-2015-210867"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-210867","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8,20]]}}}