Korean J Anesthesiol.  2010 Dec;59(Suppl):S167-S171. 10.4097/kjae.2010.59.S.S167.

Anesthetic management for emergent Cesarean section in a patient with toxic epidermal necrolysis: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, College of Medicine, CHA University, Seongnam, Korea. yanghj@medigate.net
  • 2Department of Dermatology, College of Medicine, CHA University, Seongnam, Korea.

Abstract

Toxic epidermal necrolysis (TEN) is rare but serious cutaneous reaction with significant mortality and long-term morbidity. Various etiologies, particularly numerous medications and infectious agents have been implicated. It is characterized as inflammatory bullous lesions of the skin and mucous membrane and can develop serious complications such as pneumonia, pneumothorax, sepsis and renal failure. In general, patients with TEN are managed as severe second-degree burn patients with preventing excessive fluid deficit and infections. In this case, we aimed to present anesthetic management of a 26-year-old pregnant woman with TEN who received general anesthesia during emergent cesarean section.

Keyword

Cesarean section; General anesthesia; Toxic epidermal necrolysis

MeSH Terms

Adult
Anesthesia, General
Blister
Burns
Cesarean Section
Epidermal Necrolysis, Toxic
Female
Humans
Mucous Membrane
Pneumonia
Pneumothorax
Pregnancy
Pregnant Women
Renal Insufficiency
Sepsis
Skin
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