Iatrogenic streptococcus salivarius meningitis: a case report

  • Kristina Praper University Medical Centre Ljubljana, Department of Infectious Diseases, Japljeva 2, 1000 Ljubljana
  • Uršula Tišler University Medical Centre Ljubljana, Department of Anaesthesiology and Surgical Intensive Therapy, Zaloška 7, 1000 Ljubljana
  • Matjaž Jereb University Medical Centre Ljubljana, Department of Infectious Diseases, Japljeva 2, 1000 Ljubljana
DOI: https://doi.org/10.6016/ZdravVestn.2216
Keywords: bacterial meningitis, subarachnoid anaesthesia, epidural anaesthesia, neuraxial blockade, Viridans group streptococc

Abstract

We present a case of a 28-year-old patient who underwent spinal anaesthesia for caesarean section, and developed meningitis, Streptococcus salivarius was isolated in the cerebrospinal fluid. The Viridans streptococci are a part of a normal human mouth flora, therefore the patient most likely developed iatrogenic meningitis due to droplet transmission of bacteria intrathecally. We discuss etiology, pathogenesis, clinical presentation, diagnostic tools, treatment and prognosis of meningitis afer intrathecal procedures and we emphasize the importance of strict aseptic technique while performing neuraxial procedures. Iatrogenic meningitis should be considered as a possible differential diagnosis in patients who present with symptoms and signs of meningitis after neuraxial blockade.

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Published
2017-11-06
How to Cite
1.
Praper K, Tišler U, Jereb M. Iatrogenic streptococcus salivarius meningitis: a case report. TEST ZdravVestn [Internet]. 6Nov.2017 [cited 25Apr.2024];86(9-10):396-03. Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/2216
Issue
Vol 86 No 9-10 (2017): September - October
Section
Case report, short scientific article

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