3 years ago

Anesthetic Management of a Parturient With Varicella Presenting for Cesarean Delivery

Janardhan, A.L., Gupta, N., Gogna, R.L., Prakash, S.
(Int J Obstet Anesth. 2016;28:92–94) Varicella (chicken pox) is caused by the varicella zoster virus (VZV) and usually occurs during childhood. Adult varicella cases are uncommon, but 5% to 10% of expectant mothers do not have antibodies to VZV and are at risk of becoming infected. The risk of maternal and fetal morbidity and mortality is high in parturients with VZV infection. A serious complication in adults with varicella is pneumonia. Approximately 25% of varicella-associated deaths occur in adults, and pneumonia is a common cause. When a parturient with VZV infection requires delivery, there is not a clearly defined preferred anesthetic technique. This case report describes the anesthetic management of a 25-year-old parturient infected with varicella who required emergency cesarean delivery.
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