JBM  Vol.6 No.10 , October 2018
Bacterial Meningitis Following Spinal Anesthesia for Caesarean Section
Abstract: Bacterial meningitis has a potentially devastating outcome if there is any delay in diagnosis and treatment. There are multiple routes at which bacteria could migrate into the subarachnoid space. Lumbar puncture bypasses the natural defense barrier of central nervous system and therefore carries a risk of transmitting infection to the meninges. We report a case of post spinal bacterial meningitis in a post partum lady who underwent spinal anaesthesia for emergency lower segment caesarean section. She developed signs and symptoms of meningitis twenty-eight hours post procedure. Her cerebrospinal fluid (CSF) analysis was suggestive of bacterial meningitis and she made a full recovery.
Cite this paper: Low, Q. , Teo, K. and Cheo, S. (2018) Bacterial Meningitis Following Spinal Anesthesia for Caesarean Section. Journal of Biosciences and Medicines, 6, 1-4. doi: 10.4236/jbm.2018.610001.

[1]   Burke, D. and Wildsmith, J.A. (1997) Meningitis after Spinal Anaesthesia. British Journal of Anaesthesia, 78, 635-636.

[2]   Tunkel, A.R., Hartman, B.J., et al. (2004) Practice Guidelines for the Management of Bacterial Meningitis. Clinical Infectious Diseases, 39, 1267-1284.

[3]   Centers for Disease Control and Prevention (2010) Bacterial Meningitis after Intrapartum Spinal Anesthesia, New York and Ohio, 2008-2009. Morbidity and Mortality Weekly Report, 59, 65-69.

[4]   Casico, M. (1996) George Health Meningitis Following a Combined Spinal-Epidural Technique in a Laboring Term Parturient. Canadian Journal of Anesthesia, 43, 399-402.

[5]   Lee, J.J. and Parry, H. (1991) Bacterial Meningitis Following Spinal Anaesthesia for Caesarean Section. British Journal of Anaesthesia, 66, 383-386.

[6]   Harding, S.A., Collis, R.E. and Morgan, B.M. (1994) Meningitis after Combined Spinal-Extradural Anaesthesia in Obstetrics. British Journal of Anaesthesia, 73, 545-547.

[7]   Goldman, W.W. and Sandford, J.P. (1960) An Epidemic of Chemical Meningitis. American Journal of Medicine, 29, 94-101.

[8]   Bert, A.A. and Laasberg, H.L. (1985) Aseptic Meningitis Following Spinal Anesthesia: A Complication of the Past? Anesthesiology, 62, 674-677.

[9]   Austin, D.A. and Sokolowski, J.W. (1968) Postlumbar Puncture Chemical Meningitis. New York State Journal of Medicine, 68, 2444-2446.

[10]   Gibbons, R.B. (1969) Chemical Meningitis Following Spinal Anesthesia. JAMA, 210, 900-902.