Oliveira, Ricardo and Teixeira, Mafalda and Cochito, Sofia and Furtado, Ana and Grima, Bruno and Alves, José (2019) Drug-Induced Aseptic Meningitis Following Spinal Anesthesia. European Journal of Case Reports in Internal Medicine, 7 (1). ISSN 2284-2594
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Abstract
Meningitis is a very uncommon complication of spinal anesthesia, and drug-induced aseptic meningitis (DIAM) is even rarer. We present two cases of DIAM following spinal anesthesia with bupivacaine and ropivacaine, respectively. The patients presented shortly after the procedure with typical meningitis symptoms. Since CSF (cerebrospinal fluid) analysis could not initially exclude bacterial meningitis, they were started on empirical antibiotics. CSF was subsequently found to be negative for viruses and bacteria in both cases, and antibiotics were promptly stopped. Both patients improved rapidly and without neurological sequelae. While it remains a diagnosis of exclusion, it is important to be aware of DIAM as recognition of the condition can lead to shorter admission times and avoid unnecessary use of antibiotics.
| Item Type: | Article |
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| Uncontrolled Keywords: | Aseptic meningitis, drug-induced aseptic meningitis, ropivacaine, bupivacaine |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 19 Nov 2020 09:51 |
| Last Modified: | 19 Nov 2020 09:51 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/19786 |
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