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Lumbar tinea versicolor and spinal anaesthesia

Mohd Zulfakar Mazlan1, Soon Eu Chong2, Zeti Norfidiyati Salmuna Ayub3

  • 1Department of Anaesthesiology, School of Medical Sciences, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.

Idcases
|April 27, 2019
PubMed

Insights

Spinal anesthesia is generally avoided with skin infections. However, this case demonstrates that careful antiseptic preparation allows safe spinal anesthesia in a parturient with tinea versicolor for cesarean delivery.

Area of Science:

  • Anesthesiology
  • Obstetrics
  • Infectious Disease

Background:

  • Meningitis is a feared complication of spinal anesthesia, often leading to avoidance in patients with skin infections at the puncture site.
  • General anesthesia is undesirable in obstetrics due to potential complications.
  • Antiseptic measures, like chlorhexidine with alcohol, are crucial for preventing microbial contamination of the subarachnoid space.

Observation:

  • A parturient presented with generalized tinea versicolor affecting the lumbar region.
  • The patient required delivery via cesarean section.

Findings:

  • Despite the widespread skin fungal infection, spinal anesthesia was successfully administered.
  • Meticulous antiseptic skin preparation was employed prior to the procedure.
  • No adverse events or complications related to meningitis were observed.

Implications:

  • This case suggests that spinal anesthesia can be safely performed in obstetric patients with superficial skin infections like tinea versicolor.
  • Rigorous antiseptic protocols are paramount in mitigating the risk of infection transmission.
  • This approach may help avoid the risks associated with general anesthesia in the obstetric population.
Keywords:
Caesarean sectionSpinal anaesthesiaTinea versicolor

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