Streptococcus viridans Meningitis After Epidural Nerve Block

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.J Korean Neurol Assoc 27(3):291-293, 2009KeyWords:Streptococcus viridans, meningitis, spinal manipulationReceived April 1 , 2009 Revised April 22, 2009Accepted April 22, 2009＊Sang-Bae Ko, MD, PhDDepartment of Neurology, Seoul National University College of Medicine, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744, KoreaTel: +82-2-2072-2278 Fax: +82-2-3672-7553E-mail: sangbai1378@gmail.com