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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurrent Bacterial Meningitis?

My husband got bacterial meningitis caused by e-coli following his disectomy on l4/5. They took him back to surgery and Discovered a tear in his dura. Six months post op bacterial meningitis again. Shorter recovery gram positive following a lumbar puncture this time. Mri s are clean of any possible leaks. Anyone have knowledge of what could be happening?
posted on Thu, 4 Dec 2014
Twitter Sun, 28 Dec 2014 Answered on
Twitter Mon, 29 Dec 2014 Last reviewed on
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Neurologist,  's  Response
he has recurrent miningitis post surgery of lumber disc. it may be due to dural tear and recurrent csf leak local infection can spread though leaked dura to brain and causes meningitis. MRI may be normal. next investigation to find csf leak is myelogram. if meningitis occur next time , consult neurologist to complete work up anf if leak is found than surgical repair should be done
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What Causes Recurrent Bacterial Meningitis?

he has recurrent miningitis post surgery of lumber disc. it may be due to dural tear and recurrent csf leak local infection can spread though leaked dura to brain and causes meningitis. MRI may be normal. next investigation to find csf leak is myelogram. if meningitis occur next time , consult neurologist to complete work up anf if leak is found than surgical repair should be done