Fatal Clostridium perfringens Meningitis Following Caudal Anesthesia in an Infant: A Case Report

被引：0
|
作者：
Reutershan, Joerg [1 ]
Finckh, Markus [1 ]
Getto, Rainer [2 ]
Rauch, Winfried [3 ]
Schimanski, Sven [4 ]
Vieth, Michael [5 ]
Rupprecht, Thomas [3 ]
机构：
[1] Klinikum Bayreuth GmbH, Dept Anesthesiol & Intens Care Med, Preuschwitzer Str 101, D-95545 Bayreuth, Germany
[2] Klinikum Bayreuth GmbH, Dept Paediat Surg, Bayreuth, Germany
[3] Klinikum Bayreuth GmbH, Childrens Clin, Bayreuth, Germany
[4] Klinikum Bayreuth GmbH, Inst Lab Med & Microbiol, Bayreuth, Germany
[5] Klinikum Bayreuth GmbH, Inst Pathol, Bayreuth, Germany
来源：
A & A PRACTICE | 2020年 / 14卷 / 06期
关键词：
REGIONAL ANESTHESIA; CHILDREN;
D O I：
10.1213/XAA.0000000000001188
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Caudal anesthesia is referred to as a simple and safe method to obtain analgesia in infants during various surgical procedures. Here, we present a fatal course of a premature infant that received caudal anesthesia for inguinal hernia repair. While anesthesia and surgery were uneventful, the child developed an acute bacterial meningoencephalitis within a few hours. Microbiology revealed the presence of Clostridium perfringens in the cerebrospinal fluid (CSF). The infant died 17 days after surgery. Preoperative screening for C. perfringens and particular caution in infants with intracerebral hemorrhages are discussed as potential factors to be considered when anesthesia is planned.
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页数：3
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