Successful management of severe acute noncancer pain by using morphine in a patient with bacterial spondylitis and paravertebral abscess: a case report
10.2512/jspm.5.327
- VernacularTitle:非オピオイド鎮痛薬ではコントロールが困難で， モルヒネが奏効した非がん疼痛の１例
- Author:
Katsuo Sugiyama
;
Akira Ishikawa
;
Tadashi Watanabe
;
Sumie Takahashi
;
Tomiko Terashima
;
Namiko Ooe
;
Mikiko Gotou
- Publication Type:Journal Article
- Keywords:
acute noncancer pain;
opioid;
morphine;
bacterial spondylitis;
paravertebral abscess
- From:Palliative Care Research
2010;5(2):327-331
- CountryJapan
- Language:Japanese
-
Abstract:
Opioids are potent analgesics mostly used for severe cancer and chronic noncancer pain. However, their efficacy and safety in acute noncancer pain are debatable. We describe the case of an 82-year-old male with severe back pain due to bacteremic Staphylococcus aureus spondylitis and paravertebral abscess. Pain in such cases is usually controlled by non-steroidal anti-inflammatory drugs (NSAIDs). However, this patient was administered morphine (oral, then intravenous; up to 23 mg/day) because acetaminophen and NSAIDs did not ameliorate pain. Considerable pain relief was achieved without toxicity, and the dose of morphine was tapered through 35 days. No symptoms of addiction or withdrawal were observed during or after this 35-day period. Thus, morphine appears to be safe and effective in the management of severe, acute noncancer pain in patients with bacterial spondylitis. Palliat Care Res 2010; 5(2): 327-331
