Dehiscence and Deep Wound Infection After Spinal Cord Stimulator Implant Managed Without Explantation: A Case Report.

IF 0.5

A&A Practice Pub Date : 2022-09-21 eCollection Date: 2022-09-01 DOI:10.1213/XAA.0000000000001623

Hank C Wang, Andrew Auyeung, Tabish Aijaz, Kenneth D Candido, Nebojsa Nick Knezevic

引用次数: 0

Abstract

Deep infections of spinal cord stimulator devices usually result in explantation, as recommended by some professional societies. However, alternative options should be explored to avoid potential complications that are associated with explantation, and possibly additional procedures required in consideration of reimplantation. In this case, the patient presented with wound dehiscence after implantation. There was suspicion for deep wound infection based on a wound culture that was positive for Staphylococcus aureus, but no purulent material was noted on further inspection. The patient was treated with standard wound-care management and oral antibiotics without removing the device, and recovered while preserving the original system.

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脊髓刺激器植入后无外植处理致裂孔及深部伤口感染1例。

根据一些专业协会的建议，脊髓刺激装置的深度感染通常导致外植。然而，应该探索其他选择，以避免与外植术相关的潜在并发症，以及考虑再植时可能需要的额外手术。在本例中，患者在植入后出现伤口裂开。基于金黄色葡萄球菌阳性的伤口培养，怀疑深度伤口感染，但进一步检查未发现化脓性物质。患者接受了标准的伤口护理管理和口服抗生素治疗，没有取出装置，并在保留原始系统的情况下恢复。

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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A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.