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Case report
Perioperative challenges in managing a patient with COVID-19 undergoing debridement for massive scalp myiasis
  1. Shiu Yin Lo1,
  2. Ming Kai Teah2,
  3. Yan Zheng Ho3 and
  4. Tat Boon Yeap4
  1. 1Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth 2, Kota Kinabalu, Sabah, Malaysia
  2. 2Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
  3. 3Neurosurgical Department, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
  4. 4Faculty of Medicine and Health Sciences, Medicine Based Disciplines Department, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  1. Correspondence to Dr Tat Boon Yeap; boontat{at}ums.edu.my

Abstract

A young man presented to our centre needing an urgent debridement of his postcraniotomy wound due to massive myiasis during the COVID-19 pandemic in October 2020. Prior to the surgery, his nasopharyngeal swab real-time PCR test result was unknown. One day later, it returned as SARS-CoV-2 positive. All healthcare workers who were involved in the patient management avoided cross infection as they wore appropriate personal protective equipment. This article depicts the importance of adequate preparations when handling potentially infectious patients and the perioperative issues associated with it.

  • anaesthesia
  • COVID-19
  • neurosurgery

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2020-241189

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    Footnotes

    • Contributors SYL and TBY are the managing anaesthetist for this patient. YZH is the senior neurosurgical medical officer who operated on this patient. MKT is the coauthor of this manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.