Navigating the red: Diagnostic dilemma of erythema and diffuse body rash post- intrathecal baclofen pump implantation

Chelsey Hoffmann, Annie Howrigon, Jennifer Hollister, William D. Mauck, Oludare O. Olatoye
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Abstract

Intrathecal drug delivery system (IDDS) infections can be localized to the pump pocket site and/or the catheter insertion site or become systemic, all potentially resulting in IDDS explant. Given the well-established effectiveness of IDDS for chronic non-cancer pain, cancer-associated pain, and spasticity, clinicians must differentiate between localized and systemic post-operative IDDS infections, as well as identify other causes of post-surgical skin irritation while avoiding unnecessary device explanation and therapy interruption.
In this letter-to-the-editor, we describe and discuss the importance of taking a thorough patient history and utilizing both critical clinical decision-making as well as expertise from other subspecialists to care for IDDS patients and navigate problematic skin reactions following implant.
红色导航:鞘内巴氯芬泵植入后红斑和弥漫性皮疹的诊断困境
鞘内给药系统(IDDS)感染可局限于泵袋部位和/或导管插入部位或成为全身性感染,所有这些都可能导致IDDS外植体。鉴于IDDS治疗慢性非癌性疼痛、癌症相关疼痛和痉挛的有效性,临床医生必须区分局部和全身性术后IDDS感染,并确定术后皮肤刺激的其他原因,同时避免不必要的设备解释和治疗中断。在这封致编辑的信中,我们描述并讨论了全面了解患者病史的重要性,并利用关键的临床决策以及其他专科医生的专业知识来护理IDDS患者,并在植入后处理有问题的皮肤反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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