Drug-Induced Aseptic Meningitis Following Spinal Anesthesia
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 meningit...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SMC MEDIA SRL
2019-12-01
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| Series: | European Journal of Case Reports in Internal Medicine |
| Subjects: | |
| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/1334 |
| _version_ | 1819265885732339712 |
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| author | Ricardo Paquete Oliveira Mafalda Teixeira Sofia Cochito Ana Furtado Bruno Grima José Delgado Alves |
| author_facet | Ricardo Paquete Oliveira Mafalda Teixeira Sofia Cochito Ana Furtado Bruno Grima José Delgado Alves |
| author_sort | Ricardo Paquete Oliveira |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-23T20:52:29Z |
| format | Article |
| id | doaj.art-f338d92bbade4678be73f52c54231e26 |
| institution | Directory Open Access Journal |
| issn | 2284-2594 |
| language | English |
| last_indexed | 2024-12-23T20:52:29Z |
| publishDate | 2019-12-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj.art-f338d92bbade4678be73f52c54231e262022-12-21T17:31:37ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942019-12-0110.12890/2019_0013341334Drug-Induced Aseptic Meningitis Following Spinal AnesthesiaRicardo Paquete Oliveira0Mafalda Teixeira1Sofia Cochito2Ana Furtado3Bruno Grima4José Delgado Alves5Serviço de Medicina IV, Hospital Prof. Doutor Fernando Fonseca, Amadora, PortugalServiço de Medicina IV, Hospital Prof. Doutor Fernando Fonseca, Amadora, PortugalDepartamento de Pediatria, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, EPE Clínica Universitária de Pediatria, Faculdade de Medicina, Universidade de Lisboa. Lisboa, PortugalServiço de Medicina IV, Hospital Prof. Doutor Fernando Fonseca, Amadora, PortugalServiço de Medicina IV, Hospital Prof. Doutor Fernando Fonseca, Amadora, PortugalServiço de Medicina IV, Hospital Prof. Doutor Fernando Fonseca, Amadora, PortugalMeningitis 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.https://www.ejcrim.com/index.php/EJCRIM/article/view/1334aseptic meningitisdrug-induced aseptic meningitisropivacainebupivacaine |
| spellingShingle | Ricardo Paquete Oliveira Mafalda Teixeira Sofia Cochito Ana Furtado Bruno Grima José Delgado Alves Drug-Induced Aseptic Meningitis Following Spinal Anesthesia European Journal of Case Reports in Internal Medicine aseptic meningitis drug-induced aseptic meningitis ropivacaine bupivacaine |
| title | Drug-Induced Aseptic Meningitis Following Spinal Anesthesia |
| title_full | Drug-Induced Aseptic Meningitis Following Spinal Anesthesia |
| title_fullStr | Drug-Induced Aseptic Meningitis Following Spinal Anesthesia |
| title_full_unstemmed | Drug-Induced Aseptic Meningitis Following Spinal Anesthesia |
| title_short | Drug-Induced Aseptic Meningitis Following Spinal Anesthesia |
| title_sort | drug induced aseptic meningitis following spinal anesthesia |
| topic | aseptic meningitis drug-induced aseptic meningitis ropivacaine bupivacaine |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/1334 |
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