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Combined Spinal Epidural in a Parturient With Tinea Versicolor

Turakhia, M.B.; Bauchat, J.

Obstetric Anesthesia Digest: June 2018 - Volume 38 - Issue 2 - p 112
doi: 10.1097/01.aoa.0000532312.26805.92
Case Reports

(J Clin Anesth. 2017;43:63–64)

In this correspondence, the authors discussed the case of a 33-year-old parturient who presented for labor analgesia (combined spinal epidural technique) with a history of recurrent lumbar tinea versicolor, as well as a maculopapular rash from the cervical to the sacral area on physical examination. Tinea versicolor is a benign condition in which Malassezia globosa, a yeast found in normal flora, becomes pathogenic following exposure to heat and humidity in immunosuppressed individuals. Following informed consent, combined spinal epidural labor analgesia was administered with a 27-G Pencan spinal needle following sterile skin preparation and using a needle-through-needle technique. The epidural catheter remained in situ for 13 hours. The authors reported an uneventful delivery and postoperative course.

Department of Anesthesiology, Northwestern Memorial Hospital, Chicago, IL

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