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Emergency caesarean delivery in a patient with cerebral malaria-leptospira co infection: Anaesthetic and critical care considerations

Year: 2014

Type: article

Abstract: Malaria-leptospira co-infection is rarely detected. Emergency surgery in such patients has not been reported. We describe such a case of a 24-year-old primigravida at term pregnancy posted for emergency caesarean delivery who developed pulmonary haemorrhage, acute respiratory distress syndrome, acute kidney injury, and cerebral oedema. Here, we discuss the perioperative management, pain management (with transverse abdominis plane block), intensive care management (special reference to management of pulmonary haemorrhage with intra pulmonary factor VIIa) and the role of plasmapheresis in leptospira related jaundice with renal failure.

Source: Indian Journal of Anaesthesia

DOI: 10.4103/0019-5049.126797

Authors: Sukhen Samanta, Sujay Samanta, Rudrashish Haldar

Institutions: Sanjay Gandhi Post Graduate Institute of Medical Sciences, Post Graduate Institute of Medical Education and Research

Language: English

Topic: Leptospirosis research and findings

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W2168300526

FWCI: 0.687

Cites: 10

Cited by: 10

Related to: 10