Kaiser E, Suppini A, de Jaureguiberry J P, Paris J F, Quinot J F
Département d'anesthésie-réanimation, HIA Sainte-Anne, Toulon-Naval, France.
Ann Fr Anesth Reanim. 1997;16(1):47-9. doi: 10.1016/s0750-7658(97)84276-1.
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 skin and from the upper airway's flora of the operator seems to be a more plausible cause. Spinal anaesthesia is contra-indicated in the febrile patient. Asepsis is essential during spinal puncture, including wearing a surgical face mask.