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ARTICLE |

Lumbar Puncture—Induced Meningitis

Robert H. K. Eng, MD; Stephen J. Seligman, MD
JAMA. 1981;245(14):1456-1459. doi:10.1001/jama.1981.03310390056023.
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A retrospective study was done to evaluate the risk of lumbar puncture—induced meningitis. Fourteen percent (23/165) of patients with bacteremia caused by Streptococcus pneumoniae, Haemophilus influenzae, Neisseria meningitis, and groups A and B streptococci had spontaneous meningitis (without a preceding lumbar puncture). In contrast, only 0.8% (7/924) of patients with blood culture containing other organisms had spontaneous meningitis and 2.1% (3/140) of these patients had clinical courses consistent with lumbar puncture—induced meningitis. However, the 2.1% incidence in the latter group is not significantly different from 0.8%, the expected incidence of spontaneous meningitis. It is suggested that if lumbar puncture—induced meningitis does occur, it is rare enough to be clinically insignificant.

(JAMA 1981;245:1456-1459)

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