Abstract
Two women in labor received intrapartum spinal anesthesia from the same anesthesiologist approximately 1 h apart. Within 15 h, both patients developed Streptococcus salivarius meningitis and one patient died. Blood and cerebrospinal fluid (CSF) samples from both patients and tongue swab specimens from the anesthesiologist yielded isolates of an indistinguishable S. salivarius strain.
MeSH terms
-
Anesthesia, Spinal*
-
Bacterial Typing Techniques / methods*
-
Culture Media
-
DNA, Bacterial / analysis
-
Electrophoresis, Gel, Pulsed-Field
-
Fatal Outcome
-
Female
-
Genes, Bacterial / genetics
-
Humans
-
Infectious Disease Transmission, Professional-to-Patient*
-
Medical Staff, Hospital
-
Meningitis, Bacterial* / etiology
-
Meningitis, Bacterial* / microbiology
-
Pregnancy
-
Streptococcus / genetics
-
Streptococcus / growth & development
-
Streptococcus / isolation & purification*
-
Tongue / microbiology*
Substances
-
Culture Media
-
DNA, Bacterial