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Meningitis after combined spinal-extradural anaesthesia in obstetrics
S A Harding1, R E Collis, B M Morgan
1Department of Anaesthetics, Queen Charlotte's and Chelsea Hospital, London.
Abstract:
We report two cases of meningitis which developed after combined spinal-extradural procedures for obstetric analgesia. The first case was thought to be caused by aseptic or chemical meningitis and the second was a case of bacterial meningitis in a patient who also received an extradural blood patch. It is important that meningitis is considered as a differential diagnosis in patients who present with headache after spinal anaesthesia and that antibiotic therapy is selected to cover unusual organisms.
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