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Bacterial Meningitis Ten Days After Spinal Anesthesia

To the Editor:

Meningitis after spinal anesthesia caused by Streptococcus viridans is rare but increasing. Delayed-onset meningitis after spinal anesthesia is even more rare.1 In most cases described previously, the symptoms of meningitis started within 72 hours of the spinal puncture.1 We present a case in which the symptoms started 10 days after spinal anesthesia.

A 42-year-old, previously healthy man underwent spinal anesthesia for arthroscopy of the left knee. Under sterile conditions (all precautions taken), the lumbar puncture was accomplished on the first attempt with a 25-gauge Whitacre needle placed into the L4-L5 spinal space, and 4 mL of plain lidocaine 2% was injected. After 5 ...

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