Meningitis after a combined spinal epidural anesthesia: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 337-340, 2009.
Artículo
en Coreano
| 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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Tibia
/
Vómitos
/
Punciones
/
Incidencia
/
Meningitis Bacterianas
/
Fiebre
/
Glucosa
/
Cefalea
/
Anestesia
/
Recuento de Leucocitos
Tipo de estudio:
Estudio de incidencia
/
Estudio pronóstico
Límite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Año:
2009
Tipo del documento:
Artículo
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