Soonchunhyang Med Sci.
2016 Jun;22(1):31-34. 10.0000/sms.2016.22.1.31.
Anesthetic Management for Caesarean Section in a Patient with Impetigo Herpetiformis
- Affiliations
-
- 1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. nskim1977@schmc.ac.kr
- KMID: 2328776
- DOI: http://doi.org/10.0000/sms.2016.22.1.31
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.
