title: Presumed Group B Streptococcal Meningitis After Epidural Blood Patch.
abstract: Bacterial meningitis after epidural catheter placement is rare. We describe a case in which a parturient received labor epidural analgesia for vaginal delivery complicated by dural puncture. The patient developed postdural puncture headache and underwent 2 separate epidural blood patch procedures. She subsequently developed a headache with fever and focal neurologic deficits. She was treated with broad spectrum antibiotics for presumed meningitis, and she made a full recovery. Blood cultures subsequently grew group B streptococcus.
authors.affiliation: From the Department of Anesthesiology, Icahn School of Medicine, New York, New York.
authors.forename: Yaakov
authors.initials: Y
authors.lastname: Beilin
authors.forename: Yelena
authors.initials: Y
authors.lastname: Spitzer
mesh_terms: D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D017217:Blood Patch, Epidural / Q000009:adverse effects*; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D016920:Meningitis, Bacterial / Q000209:etiology*; D051299:Post-Dural Puncture Headache / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D011677:Punctures / Q000009:adverse effects; D013290:Streptococcal Infections / Q000209:etiology*; D013292:Streptococcus agalactiae / Q000302:isolation & purification*