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Emergent Cesarean Section Due to Malaria: A Perioperative Challenge
Tanmai Bandarupalli1, Reine Zbeidy2
1Medicine, University of Central Florida College of Medicine, Orlando, USA.
Cureus
|August 27, 2025
Summary
This case highlights anesthetic challenges in urgent cesarean sections with undiagnosed malaria. Prompt anesthetic management and empirical treatment are crucial for maternal and fetal outcomes.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Anesthesiology
Background:
- Pregnancy with malaria presents unique anesthetic challenges, especially in nonendemic settings.
- Undiagnosed malaria during urgent cesarean delivery requires careful anesthetic planning.
Observation:
- A 39-week pregnant patient with undiagnosed malaria experienced fetal heart rate decelerations during labor.
- Rapid anesthetic induction with etomidate and succinylcholine was used due to the patient's febrile state.
Findings:
- Intraoperative monitoring revealed malaria-related systemic effects including hypotension and coagulation anomalies.
- Empirical antimalarial treatment was initiated post-delivery, guided by travel history.
Implications:
- Flexible and anticipatory anesthetic strategies are vital for urgent obstetric procedures involving infectious diseases.
- This case underscores the importance of considering travel history in diagnosing and managing infections during pregnancy.
