[Bacterial meningitis following spinal anaesthesia].

Ned Tijdschr Geneeskd

Twerteborg Ziekenhuis, Postbus 7600, 7600 SZ Almelo.

Published: February 2006

AI Article Synopsis

  • - A 37-year-old man was admitted to the ICU with respiratory failure due to status epilepticus from meningitis, later identified as caused by Streptococcus salivarius found in his spinal fluid.
  • - Despite thorough investigations, the source of the infection remained unidentified, though the patient had recently undergone spinal anesthesia for a toe surgery.
  • - He died two weeks later from multiple organ failure, highlighting the risks associated with spinal anesthesia and the importance of proper hygienic techniques to prevent bacterial infections.

Article Abstract

A 37-year-old man in a status epilepticus due to meningitis was admitted to Intensive Care because of respiratory insufficiency. Spinal fluid culture yielded Streptococcus salivarius. Despite extensive diagnostics, the source of this bacterium could not be found. However, the patient had recently undergone spinal anaesthesia for surgery on a toe ulcer, from which other bacteria were cultured. The patient died 2 weeks after admission with a picture of multiple organ failure. Bacterial meningitis following spinal anaesthesia may be the result of impairment of the blood-brain barrier due to a sudden drop of spinal fluid pressure during the puncture, or of the introduction of bacteria from the hair follicles or from a haematoma caused by the needle or the introducer. Hygienic measures and a proper technique when performing regional anaesthesia are important in preventing the dissemination of bacteria.

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