| Meningitis after a combined spinal epidural anesthesia: A case report. |
|
Dong Hee Woo, Sang Ho Kim, Sul Jang, Byung Moon Choi, Min Seok Koo, Myung Ae Lee |
1Department of Anesthesiology and Pain Medicine, National Medical Center, Seoul, Korea.
2Department of Anesthesiology and Pain Medicine, Soon Chun Hyang University Hospital, Soon Chun Hyang University College of Medicine, Seoul, Korea. sauronia@lycos.co.kr |
|
|
|
|
|
| Abstract |
|
The incidence of post-dural puncture meningitis is very low.
A 44-year-old patient developed a fever (38degrees C, headache, neck stiffness, nausea, and vomiting after combined spinal epidural (CSE) anesthesia and surgery for closed reduction and internal fixation (CRIF) with intramedullary (IM) nailing, tibia, Rt. With a preliminary diagnosis of bacterial meningitis, empiric broad spectrum antimicrobial treatment was immediately started after cerebrospinal fluid (CSF) sampling. The CSF was clear and revealed a white blood cell count, protein, glucose, and pressure of 146/micrometer, 225 mg/dl, 48 mg/dl (serum 151 mg/dl), and 26 cmH2O, respectively. The CSF stain and culture were negative. Considering the injection of preventive antibiotics before CSE anesthesia, partially treated bacterial meningitis was suspected. Four weeks later, clinical symptoms had improved before the patient was discharged. |
| Key Words:
Cerebrospinal fluid; Combined spinal epidural anesthesia; Meningitis |
|
PDF Links
Full text via DOI
Download Citation
