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Meningitis Due to Streptococcus viridans Following Differential Spinal Block
  1. Dianne L. Scott, MD,
  2. Jawahar N. Ghia, MD and
  3. Edward Teeple, MD
  1. From the University of North Carolina Pain Clinic and the Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina


This report deals with an adult patient with chronic pain in whom meningitis, due to Streptococcus viridans developed following differential spinal block performed for diagnostic purposes. This case emphasizes the importance of 1) considering bacterial meningitis in the setting of illness after diagnostic spinal procedures which are prolonged and performed outside of an operating room and 2) maintenance of strict sterile technique during differential spinal blocks and similar procedures.

  • Block
  • differential spinal
  • Complications
  • infection
  • Meningitis
  • bacterial

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  • Address reprint requests to Dr. Scott: Department of Anesthesiology, University of North Carolina, North Carolina Memorial Hospital 204H, Chapel Hill, NC 27514.