title: Disseminated Staphylococcus aureus infection following spinal anesthesia: a case report.
abstract: We here presented a 65-year-old woman with disseminated Staphylococcus aureus infection following spinal anesthesia. The patient underwent spinal anesthesia for great saphenous vein stripping. Twenty days after the procedure, the patient developed hydrocephalus, pulmonary infection, and epidural abscess. Microbiological culture of the pus showed infection by S aureus. Appropriate antibiotic therapy and prompt surgical abscess drainage were associated with good outcome. Hydrocephalus is thought to be associated with arachnoiditis caused by S aureus infection, which provides new insights into the pathophysiology of arachnoiditis. Here we reported a case of disseminated S aureus infection following spinal anesthesia, implicating that appropriate interventions should not be delayed for waiting for the microbiological results.
authors.affiliation: Department of Critical Care Medicine, Jinhua Municipal Central Hospital, Jinhua Hospital of Zhejiang University, Zhejiang, P.R. China. Electronic address: zh_zhang1984@hotmail.com.
authors.forename: Zhongheng
authors.initials: Z
authors.lastname: Zhang
authors.affiliation: Department of Critical Care Medicine, Jinhua Municipal Central Hospital, Jinhua Hospital of Zhejiang University, Zhejiang, P.R. China.
authors.forename: Xiao
authors.initials: X
authors.lastname: Xu
authors.affiliation: Department of Critical Care Medicine, Jinhua Municipal Central Hospital, Jinhua Hospital of Zhejiang University, Zhejiang, P.R. China.
authors.forename: Hongying
authors.initials: H
authors.lastname: Ni
mesh_terms: D000038:Abscess / Q000601:surgery; D000368:Aged; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001100:Arachnoiditis / Q000209:etiology / Q000601:surgery; D004322:Drainage; D020802:Epidural Abscess; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D012501:Saphenous Vein / Q000601:surgery; D013203:Staphylococcal Infections / Q000209:etiology* / Q000382:microbiology / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents
keywords: Case report; Spinal anesthesia; Staphylococcus aureus