• Rev Esp Anestesiol Reanim · Jan 2008

    Case Reports

    [Continuous infusion of baclofen and an antibiotic for treating meningitis related to refilling of an intrathecal infusion pump reservoir].

    • A Herranz Gordo, V Villanueva Pérez, A Pérez Cervelló, G Cerdá Olmedo, M A Pallardó López, and J A De Andrés Ibáñez.
    • Consorcio Hospital General Universitario de Valencia. alhegor@alumni.uv.es
    • Rev Esp Anestesiol Reanim. 2008 Jan 1;55(1):43-6.

    AbstractBaclofen via intrathecal infusion pump is a widely used treatment severe spasticity. Complications are rare and usually mild, though they can also be serious. The sudden discontinuation of intrathecal baclofen may have significant adverse effects. We report the case of a 59-year-old man with chronic spasticity and torsion dystonia who developed meningitis due to Staphylococcus epidermidis due to contamination of the intrathecal, infusion pump reservoir during refilling. It was decided to treat the patient by administering vancomycin through the pump, together with the baclofen. We believe that changing the intrathecal perfusion pump is not necessary as the first measure to take in these cases. Combined infusion of baclofen and an antibiotic through the pump makes it possible to maintain antispastic treatment, sterilize the pump reservoir and tubes, and effectively treat infections that develop during use of these systems.

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