E. Kaiser et al., ACUTE STREPTOCOCCUS-SALIVARIUS MENINGITIS FOLLOWING SPINAL-ANESTHESIA, Annales francaises d'anesthesie et de reanimation, 16(1), 1997, pp. 47-49
The case of a 50-year-old woman who experienced an acute Streptococcus
salivarius meningitis after a spinal anaesthesia for hysteroscopy is
reported. The contamination of the cerebrospinal fluid may occur from
a puncture during a bacteriaemia. Contamination from the patient's ski
n and from the upper airway's flora of the operator seems to be a more
plausible cause. Spinal anaesthesia is contra-indicated in the febril
e patient. Asepsis is essential during spinal puncture, including wear
ing a surgical face mask.