Iatrogenic meningitis in an obstetric patient after combined spinal-epidural analgesia: Case report and review of the literature

Uriel Sandkovsky, Mircea Radu Mihu, Adebisi Adeyeye, Pamela M. De Forest, Joshua D. Nosanchuk

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

Iatrogenic meningitis is a rare but potentially fatal condition. We report a case of meningitis after combined spinal-epidural anesthesia and review previous reports of meningitis subsequent to spinal, combined spinal-epidural and epidural analgesia or anesthesia. Streptococci remain the most commonly identified agent, although cultures are frequently negative. Droplet contamination or needle contamination from incompletely sterilized skin are the major routes for infection. Strict aseptic technique and infection control measures should be employed when accessing the epidural space.

Original languageEnglish (US)
Pages (from-to)287-290
Number of pages4
JournalSouthern Medical Journal
Volume102
Issue number3
DOIs
StatePublished - Mar 1 2009

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Epidural Analgesia
Meningitis
Obstetrics
Epidural Anesthesia
Epidural Space
Spinal Anesthesia
Infection Control
Streptococcus
Needles
Skin
Infection

Keywords

  • Epidural anesthesia
  • Infection control
  • Meningitis
  • Spinal anesthesia
  • Streptococci

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Iatrogenic meningitis in an obstetric patient after combined spinal-epidural analgesia : Case report and review of the literature. / Sandkovsky, Uriel; Mihu, Mircea Radu; Adeyeye, Adebisi; De Forest, Pamela M.; Nosanchuk, Joshua D.

In: Southern Medical Journal, Vol. 102, No. 3, 01.03.2009, p. 287-290.

Research output: Contribution to journalReview article

Sandkovsky, Uriel ; Mihu, Mircea Radu ; Adeyeye, Adebisi ; De Forest, Pamela M. ; Nosanchuk, Joshua D. / Iatrogenic meningitis in an obstetric patient after combined spinal-epidural analgesia : Case report and review of the literature. In: Southern Medical Journal. 2009 ; Vol. 102, No. 3. pp. 287-290.
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