Outbreak of bacterial meningitis after spinal anaesthesia in Bangladesh

Autor:	Satyajit Dhar, Joysree Roy, Manzoorul Hoque Laskar, Akm Akhtaruzzaman, Begum Maksuda Farida Akhtar, Ahmed Abu Saleh, Badrul Alam Mandal
Rok vydání:	2014
Předmět:	business.industry Outbreak medicine.disease Anesthesia Ceftriaxone Vomiting Medicine Bacterial meningitis medicine.symptom business Nuchal rigidity Meningitis Dexamethasone Altered level of consciousness medicine.drug
Zdroj:	Journal of the Bangladesh Society of Anaesthesiologists. 22:5-11
ISSN:	2408-8706 2220-8992
Popis:	Iatrogenic meningitis following spinal anaesthesia is very rare. Recently we have experienced severe headache, vomiting, fever, restlessness, nuchal rigidity and altered level of consciousness 5-6 hours after spinal anaesthesia in one hundred and nineteen patients diagnosed as iatrogenic bacterial meningitis during the period of September 2008 to March 2009. Patients were successfully treated with Inj. Ceftriaxone 2gm BID for 14 days, Inj. Dexamethasone 20mg daily in four divided dose for five days. Purulent CSF, high cell count (1570mm-3), elevated protein level (269mg/dl) and normal glucose (57mg/dl) levels in CSF were noted. There were 5 (4.2%) cases of mortality. No causative organisms were isolated from CSF, blood of the affected patients and anaesthetic agent used for the block. In conclusion, the cause of meningitis was diagnosed as bacterial in origin though no organism was isolated. DOI: http://dx.doi.org/10.3329/jbsa.v22i1.18084 Journal of BSA, 2009; 22(1): 5-11
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::2525838784b7f8d0286ed2733342cdaa https://doi.org/10.3329/jbsa.v22i1.18084 Zobrazit plný text záznamu