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[Streptococcus salivarius meningitis after spinal anesthesia].

G Conangla1, L Rodríguez, C Alonso-Tarrés

  • 1Servicio de Medicina Interna, Hospital General de l'Hospitalet, Consorci Sanitari Integral, L'Hospitalet de Llobregat (Barcelona).

Neurologia (Barcelona, Spain)
|June 17, 2004
PubMed
Summary

Streptococcus salivarius, typically harmless, can cause rare but severe meningitis after spinal anesthesia. Early recognition and aseptic techniques are crucial for preventing such infections.

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Area of Science:

  • Microbiology
  • Infectious Diseases
  • Neurology

Background:

  • Streptococcus salivarius is a common commensal bacteria with low virulence.
  • While usually benign, S. salivarius can cause severe infections like endocarditis.
  • Bacterial meningitis post-spinal anesthesia is a rare complication.

Observation:

  • A 57-year-old male developed meningitis symptoms within 10 hours of spinal anesthesia for inguinal herniorrhaphy.
  • Cerebrospinal fluid cultures identified S. salivarius, sensitive to penicillin.
  • The patient received successful treatment with penicillin G and had no lasting effects.

Findings:

  • This case highlights a rare instance of bacterial meningitis caused by S. salivarius following spinal anesthesia.
  • Literature review indicates 28 reported cases of S. salivarius meningitis, with 18 linked to lumbar puncture procedures.

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  • Other reported causes include bacteremia and dural defects.

    • Implications:

    • Emphasizes the importance of early diagnosis for S. salivarius meningitis.
    • Stresses the critical role of aseptic precautions during lumbar puncture to minimize infectious complications.
    • Suggests S. salivarius should be considered in the differential diagnosis of meningitis post-procedural interventions.