MENINGITIS AFTER COMBINED SPINAL-EXTRADURAL ANESTHESIA IN OBSTETRICS

We report two cases of meningitis which developed after combined spina l-extradural procedures for obstetric analgesia. The first case was th ought to be caused by aseptic or chemical meningitis and the second wa s a case of bacterial meningitis in a patient who also received an ext radural blood patch. It is important that meningitis is considered as a differential diagnosis in patients who present with headache after s pinal anaesthesia and that antibiotic therapy is selected to cover unu sual organisms.