Rare cause of sepsis in those having regional anaesthesia

Clinical features

• Can present with back pain or fever
• Potential for neurological deficit as it progresses

Investigations

• MRI

Management

• IV antibiotics +/- sugical decompression if no response or if neurological concerns
  • Vancomycin, metronidazole and cefotaxime to cover MRSA, anaerobes and gram negative bacteria