Anesthetic management of urgent cesarean delivery in a parturient with acute malaria infection: a case report

• Main Authors: Bruno Antonio Zanfini, Antonio Maria Dell'Anna, Stefano Catarci, Luciano Frassanito, Salvatore Vagnoni, Gaetano Draisci
• Format: Article
• Language: English
• Published: Korean Society of Anesthesiologists 2016-04-01
• Series: Korean Journal of Anesthesiology
• Subjects: cesarean section; malaria; premature birth; spinal anesthesia
• Online Access: http://ekja.org/upload/pdf/kjae-69-193.pdf

Malaria is associated with high rates of morbidity and mortality worldwide, particularly in Africa, Southeast Asia and South America. Nonetheless, several cases of malaria have been reported in Western countries involving travelers from endemic areas, though very few involve pregnant women. In this article, we report a case of a young woman born in Sierra Leone who had been living in Italy for two years. She was admitted to our hospital with malaise; worsening of her condition led to Plasmodium falciparum infection diagnosis early during her hospital stay, as well as an urgent cesarean delivery. We briefly discuss the features of malaria in pregnancy, the difficulties associated with early diagnosis, and the possible fetal and maternal implications, and also consider how the disease may affect anesthetic management.