Presumed Group B Streptococcal Meningitis After Epidural Blood Patch. (15th June 2015)

• Record Type: Journal Article
• Authors: Beilin, Yaakov; Spitzer, Yelena
• Is Part Of: A & A case reports. Volume 4:Number 12(2015)
• Publication Date: 2015-06-15
• Subjects: Anesthesiology -- Periodicals; Anesthesia -- Periodicals; Anesthesiology; Analgesia; Anesthesiology; Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000155
• Languages: English
• ISSNs: 2325-7237

Abstract

Abstract : Bacterial meningitis after epidural catheter placement is rare. We describe a case in which a parturient received labor epidural analgesia for vaginal delivery complicated by dural puncture. The patient developed postdural puncture headache and underwent 2 separate epidural blood patch procedures. She subsequently developed a headache with fever and focal neurologic deficits. She was treated with broad spectrum antibiotics for presumed meningitis, and she made a full recovery. Blood cultures subsequently grew group B streptococcus.