The Journal of Bone and Joint Surgery 80:722-4 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.
Recurrent Meningitis Secondary to Infection after Spinal Arthrodesis with Instrumentation. A Case Report*
R. JAY CUMMINGS, M.D. , JACKSONVILLE, FLORIDA
Investigation performed at The Nemours Children's Clinic, Jacksonville
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Introduction
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Postoperative wound infection is a well recognized complication of the operative treatment of adolescent idiopathic scoliosis. The prevalence of this complication varies, but it has been reported to be as high as 7.5 per cent (thirty-seven of 493 patients)2. The signs of postoperative infection (persistent fever, pain, swelling of the wound, erythema, and drainage) usually appear relatively early. Recently, however, Richards reported on ten patients who had a delayed infection at an average of twenty-five months after an operation for the treatment of scoliosis. Low-virulence organisms frequently grew on culture of specimens taken from deep within the wound, and four of the infections were thought to have originated at the time of the operation rather than as a result of hematogenous seeding of the area around the implant.
I present the case of a patient who had recurrent episodes of meningitis secondary to a late postoperative wound infection that . . . [Full Text of this Article]
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