Rashes following cesarean delivery: a case report

Abstract

This work reports a case of rashes on multiple parts of the body following cesarean delivery caused by routine use of cefuroxime sodium and morphine during the perioperative period. A 29-yearold woman underwent a lower segment cesarean section under combined spinal-epidural anesthesia.During surgery, cefuroxime sodium was administered intravenously following the division of the umbilical cord for the prevention of infection. Morphine hydrochloride was given for analgesia at the end of the procedure. Rashes and pruritus appeared on the patient's abdomen, back and thighs. Cephalosporins and opioids may cause rashes and pruritus. According to the patient's physical signs and the time of drug injection, we considered the rash and pruritus adverse reactions caused by cefuroxime sodium and morphine hydrochloride. After the discontinuation of the medications, antiallergic treatment and the other treatment of symptoms, the patient's symptoms gradually subsided. To this end, we speculate that cefuroxime sodium or morphine hydrochloride cause adverse reactions, including rashes in patients. Physicians, nurses, and clinical pharmacists should closely observe patients who receive these medications. The medications should be at once stopped if an adverse reaction occurs.

Anaphylactic Reaction Following Injection Cefotaxime Sodium

“…In acute anaphylactic reaction, there is involvement of respiratory and cardiovascular system which risks the life of the patient. [7,8] In the present case study, the patient presented with symptoms 2 h after surgery. The risk factors involved in development of anaphylaxis are the presence of atopy, middle age, concurrent medical diseases, and history of drug exposure.…”