Bacterial meningitis is a rare complication of myelography. Most reported cases are due to miscellaneous streptococci, but the source of these organisms is uncertain. The differential diagnosis of chemical meningitis caused by the contrast material vs. bacterial meningitis may be difficult. We recently treated three patients with streptococcal meningitis following myelography performed with the contrast medium iopamidol. We discuss the diagnostic and therapeutic approach to postmyelography meningitis.
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Gelfand et al. (1995) studied this question.