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CASE REPORT
Year : 2022  |  Volume : 1  |  Issue : 2  |  Page : 100-102

Anesthetic management of a patient with erythema multiforme for emergency appendectomy


Department of Anaesthesia and Intensive Care, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India

Correspondence Address:
Dr. Mousumi Saha
Department of Anaesthesia and Intensive Care, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi - 110 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jica.jica_31_22

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Erythema multiforme (EM) is an acute, immune-mediated, mucocutaneous disease, caused by several factors such as infections, drugs, malignancy, autoimmune disease, radiation, and immunization. The anesthetic concerns in these patients include possibility of difficult airway, intraoperative steroid supplementation, avoidance of precipitating drugs, intraoperative arrhythmias, perioperative skin, and eye care. A 13-year-old boy, a known case of EM with a history of recurrent ocular herpes and impaired vision along with fibrosis at the bilateral angle of the mouth underwent emergency open appendectomy under spinal anesthesia. Spinal anesthesia with injection hyperbaric bupivacaine (0.5%) is a safe and suitable alternative in a patient with EM with recurrent herpes simplex virus.


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