       Document 1008
 DOCN  M9621008
 TI    Anaesthetic management of caesarean section in a patient with active
       recurrent genital herpes and AIDS-related dementia.
 DT    9602
 AU    Birnbach DJ; Bourlier RA; Choi R; Thys DM; Department of Anesthesiology,
       St Luke's-Roosevelt Hospital; Center, College of Physicians and Surgeons
       of Columbia; University, New York, New York 10019, USA.
 SO    Br J Anaesth. 1995 Nov;75(5):639-41. Unique Identifier : AIDSLINE
       MED/96096028
 AB    We report the anaesthetic management of a pregnant patient with multiple
       manifestations of HIV infection who underwent Caesarean section. A
       30-yr-old, HIV-positive, Haitian woman presented with acute psychosis at
       28 weeks' gestation. A diagnosis of HIV dementia complex was made and
       haloperidol therapy was started. Five days after admission the patient
       was found to be in labour and tocolytic therapy with terbutaline was
       commenced. A vaginal lesion compatible with herpes simplex virus was
       observed which was treated with acyclovir. After 3 days of tocolytic
       therapy there were no further signs of preterm labour. Two weeks later,
       at 30 weeks' gestation, the patient's membranes ruptured spontaneously.
       The herpes labialis lesion was still present and urgent Caesarean
       section was begun using subarachnoid 0.75% bupivacaine 1.5 ml. The
       patient had no intraoperative problems and a 1700-g healthy male child
       was delivered.
 DE    Adult  Anesthesia, Obstetrical/*METHODS  Anesthesia, Spinal  *AIDS
       Dementia Complex  Case Report  *Cesarean Section  Female  *Herpes
       Genitalis  Human  Pregnancy  *Pregnancy Complications, Infectious
       Recurrence  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

