Side effects of spiramycin masquerading as local anesthetic toxicity during labor epidural analgesia

International Journal of Obstetric Anesthesia
B JulliacF Haramburu

Abstract

Significant fetal bradycardia occurred when a parturient receiving labor epidural analgesia experienced generalized numbness and tingling, a metallic taste and hot flushes. An emergent cesarean delivery under general anesthesia was performed with favorable outcomes for the mother and baby. The most likely source of the maternal symptoms was spiramycin, which was being administered for treatment of toxoplasmosis.

References

Apr 20, 1991·BMJ : British Medical Journal·L S OstlereR C Staughton
Dec 16, 1998·The Journal of Antimicrobial Chemotherapy·E Rubinstein, N Keller
Feb 24, 2006·Anesthesia and Analgesia·Joanne Guay

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Citations

Sep 1, 2012·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Helieh S Oz, Thomas Tobin
May 23, 2014·International Journal of Clinical Medicine·Helieh S Oz, Thomas Tobin
Sep 12, 2014·International Journal of Clinical Medicine·Helieh S Oz
Feb 7, 2017·Frontiers in Microbiology·Mahbobeh MontazeriAhmad Daryani

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