Meningitis Following Spinal Anesthesia: 6 Cases in 5 Years
From the Haifa District Health Office (L.R., A.K., S.R.), the School of Public Health, Faculty of Welfare and Health Sciences, University of Haifa (L.R., S.R.), the Microbiology Laboratory, Rambam Medical Center (H.S.), the Infectious Diseases Unit, Carmel Medical Center (G.W.), the Faculty of Medicine, Technion–Israel Institute of Technology (G.W.), Haifa, and HaEmek Medical Center, Afula (N.T.), Israel.
We describe 6 cases of meningitis after spinal anesthesia associated with a single anesthesiologist over the course of 5 years. The earliest case occurred in 2000, and the other 5 cases occurred over the course of 14 months in 2004‐2005. The case identified in 2000 was culture‐positive for Streptococcus salivarius. The other 5 cases were culture‐negative for this organism but in 2 cases, the cerebrospinal fluid was found to be positive for bacterial DNA that was identified as belonging to S. salivarius by sequencing of the 16S rRNA gene. The association with a single anesthesiologist and a single hospital during a relatively short interval, however, lead us to believe that these occurrences are part of a series associated with possible violations of aseptic technique.
Received March 26, 2007; accepted May 9, 2007; electronically published August 1, 2007.
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Online publication date: 1-Jul-2008.
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Online publication date: 1-Mar-2008.



