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British Journal of Anaesthesia, 1994, Vol. 73, No. 4 545-547
© 1994 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

Meningitis after combined spinal-extradural anaesthesia in obstetrics

S. A. HARDING, MB, BCHIR, FRCA, R. E. COLLIS, MB, BS, FRCA and B. M. MORGAN, MB, CHB, FRCA

Department of Anaesthetics, Institute of Obstetrics and Gynaecology, Queen Charlotte's and Chelsea Hospital Goldhawk Road, London W6 OXG
Present address: Royal Free Hospital Pond Street, London NW3 2QG.
Present address: Royal London Hospital Whitechapel, London El 2AD

Correspondence to M.S.A.H.

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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