Streptococcus mitis-induced Meningitis After Spinal Anesthesia

Villevieille, T.; Vincenti-Rouquette, I.; Petitjeans, Fabrice; Koulmann, P; Legulluche, Y.; Rousseau, J; Diraison, Y.; Brinquin, L.

doi:10.1097/00000539-200002000-00056

Cited by 10 publications

(2 citation statements)

References 9 publications

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“…During the last 20 years, 48 cases of meningitis after neuraxial blocks have been published: 30 after spinal, 10 after epidural, and 8 after combined spinal‐epidural anesthesia (4). At least five additional cases were reported in 2000 (5–9).…”

mentioning

confidence: 99%

Post spinal meningitis and asepsis

Videira¹,

Ruiz-Neto

Neto³

2002

Acta Anaesthesiol Scand

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mentioning

confidence: 99%

Post spinal meningitis and asepsis

Videira¹,

Ruiz-Neto

Neto³

2002

Acta Anaesthesiol Scand

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“…We present a case in which an elderly immunocompromised patient developed meningitis due to a combination of S. mitis and N. subflava, both of which are natural inhabitants of the mucous membranes of the upper respiratory tract and are generally considered to be benign bacteria [ 1 , 2 , 3 , 4 , 5 ]. Meningitis has been reported to be caused by S. mitis or N. subflava alone in cases involving spinal anesthesia, neurosurgical procedures, malignancy, neurological complications of endocarditis, or in newborns [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 ]. Older age, the use of immunosuppressants, DM, and dental treatment played important roles in the present case, in which the patient was treated with ceftriaxone because it diffuses more readily into the CSF than other drugs.…”

Section: Discussionmentioning

confidence: 99%

Meningitis due to a Combination of Streptococcus mitis and Neisseria subflava: A Case Report

et al. 2018

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We report a rare case of meningitis due to a combination of Streptococcus mitis and Neisseria subflava. An 80-year-old female had a 4-year history of type II diabetes mellitus (DM) and an 11-year history of rheumatoid arthritis, which was treated with prednisolone, tacrolimus, and methotrexate. One month after the removal of a dental implant, she complained of a disturbance of consciousness and suffered a convulsion. A cerebrospinal fluid culture was found to be positive for both S. mitis and N. subflava. After 14 days of antibiotic treatment with 4 g/day ceftriaxone, her stiff neck, somnolence, and laboratory data greatly improved, and she was successfully discharged at 27 days after admission. Although both S. mitis and N. subflava are generally considered to be benign bacteria, they can cause meningitis in patients with the following risk factors: older age, on immunosuppressive treatment, DM, or dental treatment.

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