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Fatal bacterial meningitis after spinal anaesthesia

2007; Informa; Volume: 39; Issue: 3 Linguagem: Inglês

10.1080/00365540600951309

1651-1980

Teysir Halaby, Aart T. Rheineck Leyssius, Thiemo Veneman,

Orthopedic Infections and Treatments

A 37-y-old male was admitted to the ICU because of meningitis and respiratory failure with epileptic seizures. Spinal fluid grew Streptococcus salivarius. Prior to presentation the patient underwent surgical excision of a chronic toe ulcer, performed under spinal anaesthesia, which raised the suspicion of iatrogenic origin of the disease. The clinical situation deteriorated over the following d and the patient died from multi-organ failure. Careful hygiene measures are needed to prevent such a severe complication.