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Neuraxial anesthesia for a parturient with hypogammaglobulinemia: a case report
1Medical Anesthesia and Pain Consultant Group, Lee Memorial Health Park System, Ft Myers, Florida, USA. bmurza@comcast.net
Abstract:
Hypogammaglobulinemia is characterized as a deficiency in humoral immunity. Humoral immunity deficiencies include the absence of B cells and/or serum immunoglobulins. Common clinical features include a predisposition toward infections naturally defended against through antibody-mediated responses. Clinical manifestations of this condition, in the parturient, may contraindicate neuraxial anesthesia. A 30-year-old parturient with hypogammaglobulinemia was admitted for repeated cesarean delivery and a bilateral tubal ligation. The pathophysiology and anesthetic management of the parturient with hypogammaglobulinemia is discussed.
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