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Revista Cubana de Anestesiología y Reanimación
versión On-line ISSN 1726-6718
Resumen
LLANOS PALMIRA, Lisette Elena; FONSECA LEON, Alejandro; PANEQUE POCIO, María Elena y GUALY CUCHIMBA, Diego Armando. The Stevens-Johnson syndrome and the AIDS: Anesthesia conduction in a pregnant patient. Rev cuba anestesiol reanim [online]. 2012, vol.11, n.2, pp. 139-146. ISSN 1726-6718.
Introduction: The Stevens-Johnson syndrome has a severe evolution sometimes fatal. It is considered as a variety of the multiform erythema in its form cutaneous-mucosa ampulla. Its onset is sudden. Clinical case: This is the case of a black female patient aged 35 admitted in the "Ana Betancourt de Mora" Gynecology and Obstetrics Hospital of Camagüey province, admission carried out according to the protocol of the institution. She was diagnosed with Stevens -Johnson syndrome as a severe variant of one month of evolution and infection by human immunodeficiency virus (HIV) and a term pregnancy of 39,2 weeks starting in labor with suitable fetal wellbeing tests, programmed for an urgent cesarean section. The anesthesia conduction of patients with Stevens-Johnson Syndrome is generally difficult and more even when it is associated with HIV infection in a pregnant woman. The peridural regional anesthesia method was choosen. Conclusions: The anatomical distinctive features of the potentially difficult airway are detailed, as well as the intraoperative and postoperative evolution. In presence of a pregnant patient with these entities the anesthesia cares are nowadays a challenge for anesthesiologists.
Palabras clave : Stevens-Johnson syndrome; acquired immunodeficiency syndrome.