Chouaib Naoufal, Jidane Said, Rafai Mostafa, Belkouch Ahmed, Zidouh Saad, Belyamani Lahcen
Service des Urgences Médico-Chirurgicales, Hôpital Militaire Mohamed V, Faculté de Médecine et de Pharmacie, Rabat, Maroc.
Pan Afr Med J. 2017 Jun 30;27:158. doi: 10.11604/pamj.2017.27.158.12348. eCollection 2017.
Spinal anesthesia (SA) is the first locoregional anesthesia. It can cause side effects and carry risks that need to be avoided, prevented or treated early. We here report the case of a female patient operated under spinal anesthesia who had intense headache associated with nausea and vomiting evolving in the context of fever within a few days after surgeryLumbar puncture showed cloudy liquid revealing Gram + cocci on direct examination. This allowed the diagnosis of bacterial meningitis. Patient's evolution was favorable after antibiotic therapy.
脊髓麻醉(SA)是最早的局部区域麻醉方法。它会引起副作用并带来一些需要避免、预防或尽早治疗的风险。我们在此报告一例在脊髓麻醉下接受手术的女性患者的病例,该患者在术后几天内出现伴有恶心和呕吐的剧烈头痛,并在发热的情况下病情进展。腰椎穿刺显示液体浑浊,直接检查发现革兰氏阳性球菌。这得以诊断为细菌性脑膜炎。经抗生素治疗后患者病情好转。