Post cervical spine surgery hyperpyrexia (108?F) in a patient with COVID-19: a case report

IF 0.2 Q4 ANESTHESIOLOGY
Mbbs Nimisha Cherunghattil, MD Chinmaya K. Panda, H. M. R. K. Pdf, Dnb Idccm Fellow Niv Mishal Dhawan Md, R. HabibM., Karim, D. Habib, Reazaul Karim
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引用次数: 0

Abstract

Perioperative hyperpyrexia raises many questions and can cause permanent brain damage if left untreated. Malignant hyperthermia (MH), although uncommon, but sporadic cases continue to happen and it is potentially life-threatening. It is characterized by sudden rise of body temperatures to above 106 degrees F or even more, and hypercapnia. It is usually associated with anesthetic exposure. However, not every hyperpyrexia is MH;a clinical examination, risk stratification, scoring, and logical approach are required to exclude MH in the postoperative patient. We present a case of rare postoperative hyperpyrexia caused by COVID-19. The patient underwent uneventful spine surgery under general anesthesia and developed hyperpyrexia on the first postoperative day. The case highlights the importance of a logical and systematic approach for excluding the causes of postoperative hyperpyrexia and aggressive management.
COVID-19颈椎术后高热(108f) 1例报告
围手术期高热引发了许多问题,如果不及时治疗,可能会导致永久性脑损伤。恶性高热(MH)虽然不常见,但仍有零星病例发生,并可能危及生命。它的特点是体温突然上升到华氏106度以上,甚至更高,以及高碳酸血症。它通常与麻醉暴露有关。然而,并不是每个高热患者都是MH,需要临床检查、风险分层、评分和逻辑方法来排除术后患者的MH。我们报告一例罕见的由COVID-19引起的术后高热。患者在全身麻醉下进行了平稳的脊柱手术,术后第一天出现高热。该病例强调了排除术后高热原因和积极治疗的逻辑和系统方法的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
56
审稿时长
4 weeks
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