Acute Bacterial Meningitis after Continuous Epidural Analgesia: A case report.
10.4097/kjae.1998.34.6.1258
- Author:
Mi Sung LEE
1
;
Wha Choon JANG
;
Jun Goo RIM
Author Information
1. Department of Anesthesiology, Choon Hae Hospital, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Analgesia:epidural;
Complication: meningitis;
staphylococcus
- MeSH:
Aged, 80 and over;
Analgesia, Epidural*;
Anesthesia;
Anti-Bacterial Agents;
Catheters;
Epidural Abscess;
Female;
Granulation Tissue;
Herpes Zoster;
Humans;
Magnetic Resonance Imaging;
Meningitis;
Meningitis, Bacterial*;
Pain Clinics;
Staphylococcus aureus
- From:Korean Journal of Anesthesiology
1998;34(6):1258-1262
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recently, continuous epidural catheter insertion is common practice not only in anesthesia but also in pain clinic. Meningitis is rare but serious complication of epidural analgesia. Acute bacterial meningitis occurred in a 82-year-old female patient with thoracic herpes zoster after continuous thoracic epidural analgeia. An MRI of thoracic region did not show an epidural abscess or granulation tissue. Gram stain and culture of the epidural catheter tip and the CSF yielded Staphylococcus aureus. Immediate treatment with antibiotics and supportive therapy was instituted and then the patient discharged without neurologic sequalae.
