[Acute Streptococcus salivarius meningitis after spinal anesthesia].
The case of a 50-year-old woman who experienced an acute Streptococcus salivarius meningitis after a spinal anaesthesia for hysteroscopy is reported. The contamination of the cerebrospinal fluid may occur from a puncture during a bacteriaemia. Contamination from the patient's skin and from the upper airway's flora of the operator seems to be a more plausible cause. Spinal anaesthesia is contra-indicated in the febrile patient. Asepsis is essential during spinal puncture, including wearing a surgical face mask.
Kaiser
E
E
Département d'anesthésie-réanimation, HIA Sainte-Anne, Toulon-Naval, France.
Suppini
A
A
de Jaureguiberry
J P
JP
Paris
J F
JF
Quinot
J F
JF
D000208:Acute Disease; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D016920:Meningitis, Bacterial / Q000188:drug therapy / Q000209:etiology*; D008875:Middle Aged; D013290:Streptococcal Infections / Q000209:etiology* / Q000635:transmission; D019533:Streptococcus oralis