Pseudomonas Meningitis Post Spinal Anesthesia: A Case Report

Nosocomial meningitis following spinal anesthesia is a rare but potentially life-threatening complication that breaches the central nervous system's natural defense barriers. This report presents a case of Pseudomonas meningitis post spinal anesthesia, emphasizing the diagnostic, management, and preventive strategies for iatrogenic bacterial meningitis. A 53-year-old patient with sickle cell disease developed febrile confusion 10 days after spinal anesthesia for hemorrhoidal surgery, presenting with meningeal signs and positive infectious markers. Cerebrospinal fluid analysis revealed purulent fluid with leukocytosis, prompting empirical antibiotic therapy. Multi-resistant Pseudomonas aeruginosa was identified, necessitating tailored antibiotic treatment and resulting in clinical improvement. Iatrogenic meningitis, though rare, poses significant risks in various medical settings involving spinal procedures. P. aeruginosa, identified as the causative agent in this case, presents challenges due to its antibiotic resistance. Early diagnosis, appropriate antibiotic selection, and adherence to hygiene protocols are crucial in managing P. aeruginosa infections effectively. Preventive measures, including strict adherence to skin disinfection protocols during invasive procedures, play a vital role in reducing the risk of nosocomial infections and ensuring patient safety post spinal anesthesia.