Fatal arachnoiditis following accidental intradural injection of chlorhexidine: a case report and literature review

Accidental intradural or epidural administration of chlorhexidine is a rare but devastating event most often associated with poor outcomes. Prevention requires mandating colored antiseptics or enforcing strict handling protocols.

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Publication Details

Journal
Regional Anesthesia & Pain Medicine
Published
2026-03-04
DOI
https://doi.org/10.1136/rapm-2026-107636
Primary Topic
Anesthesia and Pain Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Fatal arachnoiditis following accidental intradural injection of chlorhexidine: a case report and literature review

Anne-Claire de Crouy, Vincent Degos, Bertrand Mathon, Delphine Leclercq et al.
Regional Anesthesia & Pain Medicine
Anesthesia and Pain Management
article

Fatal arachnoiditis following accidental intradural injection of chlorhexidine: a case report and literature review

Anne-Claire de Crouy, Vincent Degos, Bertrand Mathon, Delphine Leclercq, Vincent Doat-Sarfati, Silvia Mattei, Alice Jacquens
article en

Abstract

Accidental intradural or epidural administration of chlorhexidine is a rare but devastating event most often associated with poor outcomes. Prevention requires mandating colored antiseptics or enforcing strict handling protocols.

Regional Anesthesia & Pain Medicine
Inserm (FR), Sorbonne Université (FR), Pitié-Salpêtrière Hospital (FR), Institut de Psychiatrie et Neurosciences de Paris (FR), Bicêtre Hospital (FR)
Openalex Percentile: Top 34%
Anesthesia and Pain Management
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