Iatrogenic bacterial meningitis: an unmasked threat

Robert Barnwell, Vincent Ball
2012 CJEM: Canadian Journal of Emergency Medical Care  
Iatrogenic bacterial meningitis (IBM) is a rare but serious complication of neuraxial procedures, such as spinal and epidural anesthesia or lumbar puncture. We report a case of a 46-year-old female who presented to the emergency department with bacterial meningitis after spinal anesthesia. We reviewthe existing literature outlining the pathogenesis, vector hypothesis, diagnosis, treatment, and prevention as they relate to IBM. We highlight the role of the emergency physician in the rapid
more » ... in the rapid diagnosis of this disease, and underscore the need for sterile technique when performing lumbar punctures.
doi:10.2310/8000.2011.110316 fatcat:y6umx4fahjepdirpetugjuxolm