Anaesthetic management of Caesarean section in a patient with active recurrent genital herpes and AIDS-related dementia

D. J. Birnbach, R. A. Bourlier, R. Choi, D. M. Thys

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

We report the anaesthetic management of a pregnant patient with multiple manifestations of HIV infection who underwent Caesarean section. A 30 yr-old, HIV-positive, Haitian woman presented with acute psychosis at 28 weeks' gestation. A diagnosis of HIV dementia complex was made and haloperidol therapy was started. Five days after admission the patient was found to be in labour and tocolytic therapy with terbutaline was commenced. A vaginal lesion compatible with herpes simplex virus was observed which was treated with acyclovir. After 3 days of tocolytic therapy there were no further signs of preterm labour. Two weeks later, at 30 weeks' gestation, the patient's membranes ruptured spontaneously. The herpes labialis lesion was still present and urgent Caesarean section was begun using subarachnoid 0.75% bupivacaine 1.5 ml. The patient had no intraoperative problems and a 1700g healthy male child was delivered.

Original languageEnglish (US)
Pages (from-to)639-641
Number of pages3
JournalBritish Journal of Anaesthesia
Volume75
Issue number5
DOIs
StatePublished - Jan 1 1995
Externally publishedYes

Keywords

  • Anaesthesia, obstetric
  • Complications, AIDS

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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