Streptococcus viridans Meningitis After Epidural Nerve Block

J Korean Neurol Assoc > Volume 27(3); 2009 > Article

Journal of the Korean Neurological Association 2009;27(3): 291-293.

경막외신경차단술 후 발생한 Streptococcus viridans 수막염

김치경, 신제영 장준영 김지은 고상배

서울대학교 의과대학 신경과학교실

Streptococcus viridans Meningitis After Epidural Nerve Block

Chi Kyung Kim

Department of Neurology, Seoul National University College of Medicine, Seoul, Korea

Abstract

We report herein a case of meningitis due to Streptococcus viridans that occurred after epidural nerve block. The low virulence of S. viridans resulted in milder clinical symptoms and signs than are usually observed for bacterial meningitis, thus mimicking viral meningitis. The infection may have originated from the oral cavity of the medical personnel, and so S. viridans infection should be included in the differential diagnosis of meningitis subsequent to spinal manipulation. Key Words: Streptococcus viridans, meningitis, spinal manipulation