title: A lethal case of meningitis due to Lactobacillus rhamnosus as a late complication of anterior cervical spine surgery.
abstract: We reported a lethal case of meningitis due to Lactobacillus rhamnosus as a late complication of anterior cervical spine surgery in an 80 years old lady. The anterior plate graft was responsible for a fistula between the oesophagus and meningeal space. This case illustrated the difficulty of early diagnosis of such infrequent complication and suggested that dysphagia following anterior cervical spine surgery should prompt cervical imaging.
authors.affiliation: Service de Réanimation, Assistance Publique, Hôpitaux de Paris, Raymond Poincaré Hospital, Garches, France.
authors.forename: Matthieu
authors.initials: M
authors.lastname: Schmidt
authors.forename: Virginie
authors.initials: V
authors.lastname: Maxime
authors.forename: Francois
authors.initials: F
authors.lastname: Pareire
authors.forename: Robert
authors.initials: R
authors.lastname: Carlier
authors.forename: Christine
authors.initials: C
authors.lastname: Lawrence
authors.forename: Bernard
authors.initials: B
authors.lastname: Clair
authors.forename: Djillali
authors.initials: D
authors.lastname: Annane
mesh_terms: D000369:Aged, 80 and over; D002574:Cervical Vertebrae / Q000601:surgery*; D003680:Deglutition Disorders / Q000209:etiology; D017809:Fatal Outcome; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000382:microbiology; D006801:Humans; D052201:Lacticaseibacillus rhamnosus; D016920:Meningitis, Bacterial / Q000382:microbiology*; D019637:Orthopedic Procedures / Q000009:adverse effects*; D011183:Postoperative Complications / Q000175:diagnosis / Q000382:microbiology*