Fatal Pyogenic Meningitis Post Lumbar Laminectomy

Postoperative meningitis, although rare, remains a devastating complication following neurosurgical procedures. This case report describes a 55-year-old male who succumbed to bacterial meningitis after lumbar laminectomy for intervertebral disc prolapse. Autopsy findings revealed extensive purulent exudate in the subarachnoid space, and microbiological analysis confirmed the presence of Acinetobacter baumannii complex and Pseudomonas aeruginosa. This case highlights the rapid and aggressive nature of nosocomial meningitis, the challenges in early diagnosis, and the critical importance of vigilance for atypical and multidrug-resistant pathogens in the post-operative period.