Published- Post cervical spine surgery hyperpyrexia (108°F) in a patient with COVID-19: a case reportSpine surgery, COVID-19 and hyperpyrexia

Anaesthesia, Pain & Intensive Care

article

Nimisha Cherunghattil¹  Chinmaya K. Panda¹  Habib M. R. Karim¹  Mishal Dhawan¹ 

[1] Department of Anesthesia, Critical Care & Pain Medicine. All India Institute of Medical Sciences

关键词: Hyperpyrexia;    Malignant Hyperthermia;    COVID-19;    Spine Surgery;   

DOI  :  10.35975/apic.v27i2.2045

学科分类：社会科学、人文和艺术（综合）

来源: THK

【 摘 要 】

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° 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.

【 授权许可】

CC BY-NC