{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:30:18Z","timestamp":1786649418295,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>Meningitis is a condition characterized by inflammation of the meninges that can lead to severe neurological dysfunction and mortality. Epidural steroid injection is a common procedure performed for lumbar radiculopathy and the procedure has its risk and complications such as pneumocephalus, postural headache, meningitis, arachnoiditis, hematoma, abscess, and conus medullaris syndrome. Here, we discuss a case of complicated bacterial meningitis following epidural steroid injection.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_65_25","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:00:56Z","timestamp":1776679256000},"page":"1413-1415","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Post epidural steroid injection complicated bacterial meningitis and brainstem stroke"],"prefix":"10.4103","volume":"15","author":[{"given":"Louis F.","family":"Zeno","sequence":"first","affiliation":[{"name":"Department of General Medicine, PIMS, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Vasanthi","sequence":"additional","affiliation":[{"name":"Department of General Medicine, PIMS, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Rangaramanujam","sequence":"additional","affiliation":[{"name":"Department of General Medicine, PIMS, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Shanmugasundaram","sequence":"additional","affiliation":[{"name":"Department of General Medicine, PIMS, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Manuel","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, PIMS, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"R1-20260424","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1212\/CON.0000000000000660","article-title":"Acute bacterial meningitis","volume":"24","author":"Davis","year":"2018","journal-title":"Continuum"},{"key":"R2-20260424","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1007\/s11916-015-0482-3","article-title":"Neurological complications associated with epidural steroid injections","volume":"19","author":"Manchikanti","year":"2015","journal-title":"Curr Pain Headache Rep"},{"issue":"(Suppl 3)","key":"R3-20260424","doi-asserted-by":"crossref","first-page":"S37","DOI":"10.1016\/j.cmi.2016.01.007","article-title":"ESCMID guideline:Diagnosis and treatment of acute bacterial meningitis","volume":"22","author":"van de Beek","year":"2016","journal-title":"Clin Microbiol Infect"},{"key":"R4-20260424","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.jemermed.2016.05.040","article-title":"Epidural steroid injection complicated by intrathecal entry, pneumocephalus and chemical meningitis","volume":"51","author":"Shah","year":"2016","journal-title":"J Emerg Med"},{"key":"R5-20260424","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1086\/338019","article-title":"Distinguishing between chemical and bacterial meningitis in patients who have undergone neurosurgery","volume":"34","author":"Brown","year":"2002","journal-title":"Clin Infect Dis"},{"key":"R6-20260424","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1186\/s12879-016-1818-2","article-title":"The diagnostic value of cerebrospinal fluid lactate for post-neurosurgical bacterial meningitis:A meta-analysis","volume":"16","author":"Xiao","year":"2016","journal-title":"BMC Infect Dis"},{"key":"R7-20260424","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1212\/WNL.42.8.1497","article-title":"Cerebrovascular complications of bacterial meningitis in adults","volume":"42","author":"Pfister","year":"1992","journal-title":"Neurology"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_65_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:53:54Z","timestamp":1786647234000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_65_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_65_25","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-01-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-18","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}