Emergency caesarean delivery in a patient with cerebral malaria-leptospira co infection: Anaesthetic and critical care considerations

  • Samanta S
  • Samanta S
  • Haldar R
  • 15


    Mendeley users who have this article in their library.
  • 2


    Citations of this article.


Malaria-leptospira co-infection is rarely detected. Emergency surgery in such patients has not been reported. We describe such a case of a 24-year-old primigravida at term pregnancy posted for emergency caesarean delivery who developed pulmonary haemorrhage, acute respiratory distress syndrome, acute kidney injury, and cerebral oedema. Here, we discuss the perioperative management, pain management (with transverse abdominis plane block), intensive care management (special reference to management of pulmonary haemorrhage with intra pulmonary factor VIIa) and the role of plasmapheresis in leptospira related jaundice with renal failure.

Author-supplied keywords

  • Intrapulmonary factor VIIa
  • Malaria-leptospira co-infection
  • Plasmapheresis
  • Transverse abdominis plane block

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document


  • Sukhen Samanta

  • Sujay Samanta

  • Rudrashish Haldar

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free