Korean J Anesthesiol.  1998 Jun;34(6):1258-1262. 10.4097/kjae.1998.34.6.1258.

Acute Bacterial Meningitis after Continuous Epidural Analgesia: A case report

• Lee MS
• Jang WC
• Rim JG

• KMID: 2091212
• DOI: http://doi.org/10.4097/kjae.1998.34.6.1258

Abstract

Recently, continuous epidural catheter insertion is common practice not only in anesthesia but also in pain clinic. Meningitis is rare but serious complication of epidural analgesia. Acute bacterial meningitis occurred in a 82-year-old female patient with thoracic herpes zoster after continuous thoracic epidural analgeia. An MRI of thoracic region did not show an epidural abscess or granulation tissue. Gram stain and culture of the epidural catheter tip and the CSF yielded Staphylococcus aureus. Immediate treatment with antibiotics and supportive therapy was instituted and then the patient discharged without neurologic sequalae.

Keyword

Analgesia:epidural; Complication: meningitis; staphylococcus

MeSH Terms

Aged, 80 and over
Analgesia, Epidural*
Anesthesia
Anti-Bacterial Agents
Catheters
Epidural Abscess
Female
Granulation Tissue
Herpes Zoster
Humans
Magnetic Resonance Imaging
Meningitis
Meningitis, Bacterial*
Pain Clinics
Staphylococcus aureus
Anti-Bacterial Agents