Anesthetic Considerations for Neuraxial Anesthesia in Pregnant Patients With Pityriasis Rosea With Skin Lesions Covering the Lumbar Spine

Megan Werntz, Carlene Chun, Brandon Togioka

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Pityriasis rosea (PR) is an acute exanthematous skin disease that is likely due to reactivation of human herpesviruses (HHVs) 6b and 7. In contrast to herpes simplex and zoster (alphaherpesviruses), HHV-6b and -7 (betaherpesviruses) are not found predominantly in skin lesions. This difference in virion location may decrease the possibility of causing central nervous system infection through skin contamination, but the risk for hematogenous spread likely remains the same. This article uses the first-known epidural placement through active PR to illustrate risk-benefit considerations when deciding between neuraxial and general anesthesia for obstetric patients with PR.

Original languageEnglish (US)
Pages (from-to)165-168
Number of pages4
JournalA & A case reports
Volume7
Issue number8
StatePublished - Oct 15 2016

ASJC Scopus subject areas

  • Medicine(all)

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