Open AccessStreptococcus salivarius kot povzročitelj iatrogenega meningitisa – predstavitev primera
Author(s) -
Kristina Praper,
Uršula Tišler,
Matjaž Jereb
Publication year - 2017
Publication title -
zdravniški vestnik
Language(s) - English
Resource type - Journals
eISSN - 1581-0224
pISSN - 1318-0347
DOI - 10.6016/zdravvestn.2216
Subject(s) - medicine , streptococcus salivarius , meningitis , aseptic meningitis , etiology , streptococcus , surgery , anesthesia , bacteria , genetics , biology
We present a case of a 28-year-old patient who underwent spinal anaesthesia for caesarean section, and developed meningitis, Streptococcus salivarius was isolated in the cerebrospinal uid. The Viridans streptococci are a part of a normal human mouth ora, therefore the patient most likely developed iatrogenic meningitis due to droplet transmission of bacteria intrathecally. We discuss etiology, pathogenesis, clinical presentation, diagnostic tools, treatment and prognosis of meningitis afer intrathecal procedures and we emphasize the importance of strict aseptic technique while performing neuraxial procedures. Iatrogenic meningitis should be considered as a possible dierential diagnosis in patients who present with symptoms and signs of meningitis after neuraxial blockade.