Epidural abscess and meningitis, a complication of spinal anesthesia in a bacteraemic patient.
Meningitis can be caused in experimental performing a lumbar puncture (LP) after bacteraemia. Several authors have speculated bacteraemic patient without having meningitis LP might actually cause meningitis. We meningitis and epidural abscess after spinal bacteraemic patient. A 57-year-old male, known admitted for below knee amputation, with infection and gangrene of the left foot. Intravenous were started and a below knee amputation date of admission under spinal anaesthesia. started having backache, fever and became operatively. A cerebrospinal fluid examination meningitis. Patient had seizures and developed failure. Cerebrospinal fluid smear showed the ie, Streptococcus agalactiae that grew on blood wound culture, sent at the time of admission. Resonance Imaging of LS spine showed an and was managed successfully with antibiotics.
Zakaria
Manzar
M
Combined Military Hospital, Lahore, Pakistan.
Butt
Mujeeb-Ur-rehman Abid
MU
D000775:Anesthesia, Spinal / Q000009:adverse effects; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications* / Q000188:drug therapy; D002442:Ceftazidime / Q000627:therapeutic use; D004791:Enzyme Inhibitors / Q000627:therapeutic use; D020802:Epidural Abscess / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000188:drug therapy / Q000209:etiology*; D008875:Middle Aged; D010397:Penicillanic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D010878:Piperacillin / Q000627:therapeutic use; D013129:Spinal Puncture / Q000009:adverse effects*; D013290:Streptococcal Infections / Q000150:complications / Q000188:drug therapy; D013292:Streptococcus agalactiae / Q000187:drug effects / Q000302:isolation & purification*; D000078142:Tazobactam
D000900:Anti-Bacterial Agents; D004791:Enzyme Inhibitors; D010397:Penicillanic Acid; D002442:Ceftazidime; D000078142:Tazobactam; D010878:Piperacillin