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KMID : 1201420130060020119
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Journal of Neurocritical Care
2013 Volume.6 No. 2 p.119 ~ p.121
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Methicillin-Resistant Staphylococcus aureus Meningitis after Epidural Patient-Controlled Analgesia
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Yu In-Woo
Kim Jae-Hwan
Lee Kee-Ook
Yoon Bo-Ra
Kim Yong-Duk
Na Sang-Jun
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Abstract
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Background:Staphylococcus aureus (SA) meningitis is very rare but fatal in adults. As methicillin-resistant Staphylococcus aureus (MRSA) infection has increased, the incidence of MRSA meningitis also increased recently. We report a patient with MRSA meningitis after epidural patient-controlled analgesia (PCA).
Case Report:A 56-year-old man was admitted for multiple bone fractures. He was complaining of severe chest wall pain, so epidural PCA was inserted. After epidural PCA, he developed fever and headache caused by MRSA meningitis. Empiric antibiotics therapy was started. He was discharged from hospital without neurologic sequelae.
Conclusion:Epidural PCA should be performed under aseptic condition. If patient complains of headache and fever after epidural PCA, physician should perform cerebrospinal fluid study to rule out bacterial meningitis.
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KEYWORD
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Methicillin-resistant Staphylococcus aureus , Meningitis , Epidural patient-controlled analgesia
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