Anesthetic Management for Caesarean Section in a Patient with Impetigo Herpetiformis.
- Author:
Nan Seol KIM
1
Author Information
1. Department of Anesthesiology and Pain Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. nskim1977@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Anesthesia;
Impetigo;
Pregnancy;
Psoriasis
- MeSH:
Adult;
Anesthesia;
Anesthesia, General;
Cesarean Section*;
Emergencies;
Female;
Fetal Growth Retardation;
Fetus;
Humans;
Impetigo*;
Mothers;
Placental Insufficiency;
Pregnancy;
Pregnant Women;
Psoriasis;
Seizures;
Sepsis
- From:Soonchunhyang Medical Science
2016;22(1):31-34
- CountryRepublic of Korea
- Language:English
-
Abstract:
Impetigo herpetiformis (IH) is an extremely rare pustular disorder and potentially life-threatening condition for both mother and fetus. Intrauterine growth retardation, fetal abnormalities, and even fetal/neonatal death can occur with worsening maternal disease and are probably related to placental insufficiency. Maternal risk is linked to fluid and electrolyte abnormalities, in particular, hypocalcemia- induced convulsions and sepsis. Therefore, early recognition is crucial to reduce both maternal and fetal morbidities, and a patient with IH may require emergency caesarean delivery. Here, we report a case of a 34-year-old pregnant woman with IH who underwent successful urgent general anesthesia for caesarean section.