title: Spinal anaesthesia for caesarean delivery in a parturient with babesiosis and Lyme disease.
abstract: We present a case of a parturient with babesiosis and Lyme disease who was scheduled for elective caesarean section. The caesarean section was performed under spinal anaesthesia, and the patient had a coronary artery dissection 4 days postoperatively. Neuraxial anaesthesia and possible mechanisms for the coronary artery dissection in a patient with babesiosis and Lyme disease are discussed.
authors.affiliation: University College London Hospital, London, UK. p.sultan@doctors.org.uk
authors.forename: P
authors.initials: P
authors.lastname: Sultan
authors.forename: C
authors.initials: C
authors.lastname: Green
authors.forename: E
authors.initials: E
authors.lastname: Riley
authors.forename: B
authors.initials: B
authors.lastname: Carvalho
mesh_terms: D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000775:Anesthesia, Spinal / Q000379:methods*; D001403:Babesia; D001404:Babesiosis / Q000150:complications* / Q000469:parasitology; D025065:Borrelia burgdorferi; D002585:Cesarean Section / Q000379:methods*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications; D004562:Electrocardiography; D005221:Fatigue / Q000209:etiology; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000469:parasitology; D011183:Postoperative Complications / Q000209:etiology; D011247:Pregnancy; D015597:Pregnancy Complications, Parasitic / Q000209:etiology* / Q000469:parasitology