Outbreak of bacterial meningitis after spinal anaesthesia in Bangladesh

Authors

  • AKM Akhtaruzzaman Associate Professor, Department of Anaesthesia, Intensive Care and Pain Medicine, BSMMU, Shahbag, Dhaka-1000
  • Begum Maksuda Farida Akhtar Junior Consultant, Gynae and Obs, presently MS (Gynae and Obs) thesis part student, Department of Obstetrics and Gynaecology, BSMMU, Shahbag, Dhaka-1000
  • Joysree Roy Consultant, Department of Obstetrics and Gynaecology, DMCH, Dhaka-1000
  • Manzoorul Hoque Laskar Consultant, Department of Anaesthesia, Intensive Care and Pain Medicine, BSMMU, Dhaka-1000
  • Satyajit Dhar MD (Anaesthesia) Final part student, Department of Anaesthesia, Intensive Care and Pain Medicine, BSMMU, Dhaka-1000
  • Md Badrul Alam Mandal Associate Professor, Department of Neurology, DMC, Dhaka-1000
  • Ahmed Abu Saleh Associate Professor, Department of Microbiology, BSMMU, Dhaka-1000

DOI:

https://doi.org/10.3329/jbsa.v22i1.18084

Keywords:

spinal anaesthesia, neurological complications, bacterial meningitis

Abstract

Iatrogenic meningitis following spinal anaesthesia is very rare. Recently we have experienced severe headache, vomiting, fever, restlessness, nuchal rigidity and altered level of consciousness 5-6 hours after spinal anaesthesia in one hundred and nineteen patients diagnosed as iatrogenic bacterial meningitis during the period of September 2008 to March 2009. Patients were successfully treated with Inj. Ceftriaxone 2gm BID for 14 days, Inj. Dexamethasone 20mg daily in four divided dose for five days. Purulent CSF, high cell count (1570mm-3), elevated protein level (269mg/dl) and normal glucose (57mg/dl) levels in CSF were noted. There were 5 (4.2%) cases of mortality. No causative organisms were isolated from CSF, blood of the affected patients and anaesthetic agent used for the block. In conclusion, the cause of meningitis was diagnosed as bacterial in origin though no organism was isolated.

DOI: http://dx.doi.org/10.3329/jbsa.v22i1.18084

Journal of BSA, 2009; 22(1): 5-11

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Published

2014-02-24

How to Cite

Akhtaruzzaman, A., Akhtar, B. M. F., Roy, J., Laskar, M. H., Dhar, S., Mandal, M. B. A., & Saleh, A. A. (2014). Outbreak of bacterial meningitis after spinal anaesthesia in Bangladesh. Journal of the Bangladesh Society of Anaesthesiologists, 22(1), 5–11. https://doi.org/10.3329/jbsa.v22i1.18084

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Section

Original Articles