A case of unknown compound poisoning is presented. It was initially treated as organophosphate poisoning with lack of response. A timely diagnosis of acute methaemoglobinaemia and iatrogenic atropine toxicity was made based on clinical evaluation. Treatment of methaemoglobinaemia using oral methylene blue and of atropine toxicity with supportive measures could save the patient.
Meningitis after spinal and epidural anaesthesia is rare but serious complication which requires early diagnosis and treatment. We report two cases of probable chemical meningitis, which developed within few hours after subarachnoid block. CSF pattern was suggestive of chemical meningitis. Both the patients recovered next day without any neurological sequelae. Meningitis should always be considered as a differential diagnosis in patients having post spinal headache, convulsions and changes in mental status. Despite thorough knowledge and practice of aseptic technique, aseptic meningitis can occur.
INTRODUCTION:Meningitis after spinal and epidural anaesthesia is rare but serious complication which requires early diagnosis and treatment. Despite thorough knowledge and practice of aseptic technique, aseptic meningitis can occur. We report two cases of aseptic meningitis following subarachnoid block probably due to the drug used for intrathecal injection.
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