Cerebrospinal fluid infection after lumbar nerve root steroid injection: a case report.
10.4097/kjae.2017.70.1.90
- Author:
Kwan Sub KIM
1
;
Young Ki KIM
;
Seong Su KIM
;
Sung Min SHIM
;
Hae Jun CHO
Author Information
1. Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. kkshope@daum.net
- Publication Type:Case Report
- Keywords:
Cerebrospinal fluid;
Infection;
Nerve root steroid injection;
Psoas abscess
- MeSH:
Abscess;
Anti-Bacterial Agents;
Back Pain;
Cerebrospinal Fluid*;
Diagnosis;
Female;
Headache;
Humans;
Magnetic Resonance Imaging;
Meningitis;
Middle Aged;
Neck;
Pneumocephalus;
Psoas Abscess;
Subdural Effusion
- From:Korean Journal of Anesthesiology
2017;70(1):90-94
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 45-year-old woman was admitted due to severe headache and neck stiffness. She had visited a local clinic for back pain and received a lumbar nerve root steroid injection 10 days before admission. Computed tomography and magnetic resonance imaging showed psoas abscess, pneumocephalus, and subdural hygroma. She was diagnosed with psoas abscess and meningitis. The abscess and external ventricle were drained, and antibiotics were administered. Unfortunately, the patient died on hospital day 19 due to diffuse leptomeningitis. Lumbar nerve root steroid injections are commonly used to control back pain. Vigilance to "red flag signs" and a rapid diagnosis can prevent lethal outcomes produced by rare and unexpected complications related to infection. Here, we report a case of fatal meningitis after infection of the cerebrospinal fluid following a lumbar nerve root steroid injection.
