{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T12:34:56Z","timestamp":1766579696420,"version":"3.40.5"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T00:00:00Z","timestamp":1702857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This case report describes a rare instance of drug\u2010induced aseptic meningitis after an interlaminar lumbar epidural steroid injection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>A 74\u2009year\u2010old female patient presented to the ED post\u2010procedure day three after an L4\u2010L5 interlaminar lumbar epidural steroid injection with fever, nausea, and vomiting. The patient had previously undergone numerous lumbar epidurals without complications and used identical medications, which included 1% lidocaine, iohexol contrast, methylprednisolone (Depo\u2010medrol), and normal saline. Pertinent labs included a WBC of 15,000\u2009cells\/\u03bcL. Lumbar MRI revealed L4\u2010S1 aseptic arachnoiditis. Two bone scans with Gallium and T\u201099 confirmed no infectious process. The patient then had a second admission months later with similar presenting symptoms and hospital course after repeating the lumbar epidural steroid injection. Lumbar MRI and CSF studies confirmed aseptic meningitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This patient's repeated admissions from aseptic meningitis were likely caused by irritation of the meningeal layers from a medication used during the procedure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.13333","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T15:02:41Z","timestamp":1702911761000},"page":"670-672","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["<scp>Drug\u2010induced<\/scp> aseptic meningitis after an interlaminar lumbar epidural steroid injection"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1351-840X","authenticated-orcid":false,"given":"Trong P.","family":"Nguyen","sequence":"first","affiliation":[{"name":"Department of Anesthesia, Perioperative and Pain Medicine Mount Sinai West\u2010Morningside Hospitals  New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ishu","family":"Kant","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Perioperative and Pain Medicine Mount Sinai West\u2010Morningside Hospitals  New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alec","family":"Cartagena","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Perioperative and Pain Medicine Mount Sinai West\u2010Morningside Hospitals  New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jung H.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Perioperative and Pain Medicine Mount Sinai West\u2010Morningside Hospitals  New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,18]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_9_2_1","DOI":"10.1111\/j.1526-4637.2011.01077.x"},{"doi-asserted-by":"publisher","key":"e_1_2_9_3_1","DOI":"10.1097\/AJP.0000000000000963"},{"doi-asserted-by":"publisher","key":"e_1_2_9_4_1","DOI":"10.2174\/1568008033340243"},{"unstructured":"MarkM BaiM.Drug\u2010induced aseptic meningitis: an uncommon challenging diagnosis.2022. 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