Intrathecal Pump Meningitis — FRCA Final MCQ

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HardPain MedicineIntrathecal Pump MeningitisFRCA Final

Intrathecal pump patient: headache, photophobia, fever 10 days after refill. Most important differential?

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Correct answer: C — Meningitis from pump infection

Fever + headache + photophobia after IDDS refill = meningitis until proven otherwise. Urgent: blood cultures, LP from separate site (NOT pump), empirical IV antibiotics, neurosurgical consult re pump removal.

Reference: FPM – 2023 – Intrathecal drug delivery complications