Abstract
Varicella zoster virus (VZV) is a DNA virus of herpes family. It is characterized by vesicular rash, fever and fatigue and it is a self-limiting disease. 22 years old male patient referred to ER with acute abdominal symptoms. We observed that the patient presenting with exanthema and fever for 10 days was diagnosed with varicella. In the preoperative examination, pulse was detected: 120 beats/minutes, blood pressure: 90/55 mmHg, Mallampathy score (Type 4) was high and neck joint could not manage extension, for this, regional anesthesia was decided to be performed. Detecting a small sized area without rashes between L4-5, 15 mg heavy marcain was injected to subarachnoid distance with 26 G spinal needle. When sensorial block grade was T8 incision was initiated. Intra operative vital results were stabile and the patient was referred to service without any PO problem.
References
- Torpy JM. Changes in anesthesiolog practice are explicated. Journal of American Medical Association 2002; 287:1924-6.
- Datta S. Anaesthesia and Obstetric management of high risk pregnancy, 2nd edn. St Louis: Mosby 1996; 476-78.
- Gambling D, Douglas M. Obstetric anaesthesia and uncommon disorders. W B Philadelphia: Saunders 1998:366-67.
- Avidan M S, Grovers P, Blott M et al. Low complication rate associated with Caesarean section under spinal anaesthesia for HIV-1 infected women on anti-retroviral therapy. Anesthesiology 2002; 97: 320-24.
- Brown NW, Parsons APR, Kam PCA. Anaesthetic consideration section. Anaesthesia 2003; 58: 1092-95.
Abstract
Varisella zoster virus(VZV), herpes virus ailesinden bir DNA virüsüdür. Vesiküler döküntüye ateş ve halsizliğin eşlik ettiği ve kendi kendini sınırlayan bir hastalıktır. 22 yaşında erkek hasta akut karın semptomlarıyla acil servise başvurmuş.10 gündür döküntülü lezyonları ve ateşi olan hastanın su çiçeği teşhisi aldığı öğrenildi. Preoperatif fizik muayenemizde; nabız:120 atım / dk,TA:90/55 mmHg, Mallampati skoru 4 olan hastanın boyun eklemi ekstansiyona gelememekteydi ve bu nedenle rejyonel anestezi uygulanmasına karar verildi. L 4-5 aralığında döküntülerin olmadığı küçük çaplı bir alan tespit edilerek, 26 G spinal iğne ile 15 mg heavy marcain bu aralıktan subaraknoid mesafeye enjekte edildi. Sensoriel blok seviyesi T8'e ulaştığında cerrahi başlatıldı.İntraoperatif vital bulguları stabil seyreden hasta postoperatif sorunsuz olarak servise gönderildi.
References
- Torpy JM. Changes in anesthesiolog practice are explicated. Journal of American Medical Association 2002; 287:1924-6.
- Datta S. Anaesthesia and Obstetric management of high risk pregnancy, 2nd edn. St Louis: Mosby 1996; 476-78.
- Gambling D, Douglas M. Obstetric anaesthesia and uncommon disorders. W B Philadelphia: Saunders 1998:366-67.
- Avidan M S, Grovers P, Blott M et al. Low complication rate associated with Caesarean section under spinal anaesthesia for HIV-1 infected women on anti-retroviral therapy. Anesthesiology 2002; 97: 320-24.
- Brown NW, Parsons APR, Kam PCA. Anaesthetic consideration section. Anaesthesia 2003; 58: 1092-95.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 1, 2012 |
| Published in Issue | Year 2012 Volume: 2 Issue: 2 |