Meningitis after a combined spinal epidural anesthesia: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 337-340, 2009.
Article
in Korean
| WPRIM
| ID: wpr-104653
ABSTRACT
The incidence of post-dural puncture meningitis is very low. A 44-year-old patient developed a fever (38degrees C, headache, neck stiffness, nausea, and vomiting after combined spinal epidural (CSE) anesthesia and surgery for closed reduction and internal fixation (CRIF) with intramedullary (IM) nailing, tibia, Rt. With a preliminary diagnosis of bacterial meningitis, empiric broad spectrum antimicrobial treatment was immediately started after cerebrospinal fluid (CSF) sampling. The CSF was clear and revealed a white blood cell count, protein, glucose, and pressure of 146/micrometer, 225 mg/dl, 48 mg/dl (serum 151 mg/dl), and 26 cmH2O, respectively. The CSF stain and culture were negative. Considering the injection of preventive antibiotics before CSE anesthesia, partially treated bacterial meningitis was suspected. Four weeks later, clinical symptoms had improved before the patient was discharged.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Tibia
/
Vomiting
/
Punctures
/
Incidence
/
Meningitis, Bacterial
/
Fever
/
Glucose
/
Headache
/
Anesthesia
/
Leukocyte Count
Type of study:
Incidence study
/
Prognostic study
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2009
Type:
Article
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