Meningitis following spinal anaesthesia in an obstetric patient

被引:3
作者
Celik, Mine [1 ]
Kizilkaya, Mehmet [1 ]
Dostbil, Aysenur [1 ]
Dogan, Nazim [1 ]
Parlak, Mehmet [2 ]
Can, Fatma Kesmez [2 ]
Bayar, Meral [2 ]
机构
[1] Ataturk Univ, Sch Med, Dept Anesthesiol & Reanimat, Erzurum, Turkey
[2] Ataturk Univ, Sch Med, Dept Infect Dis, Erzurum, Turkey
关键词
Caesarean section; spinal anaesthesia; meningitis; BACTERIAL-MENINGITIS; COMPLICATIONS; STREPTOCOCCI;
D O I
10.1177/0049475514529760
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Meningitis following lumbar puncture and spinal anaesthesia is a rare but serious complication. A 19-year-old woman was administered spinal anaesthesia at another centre prior to a Caesarean section. The following day she experienced headaches. On the fourth day, she started vomiting and having convulsions, and became agitated. Meningitis was diagnosed based on a clinical examination and analysis of a lumbar puncture sample. After 21 days of treatment, she was discharged. Meningitis should be considered in the differential diagnosis of a patient presenting with headaches following spinal anaesthesia. The causes of meningitis following spinal anaesthesia are debated, and it is difficult to distinguish between aseptic and bacterial meningitis. It should be compulsory to wear a face mask while performing a dural puncture.
引用
收藏
页码:179 / 181
页数:3
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