A COVID-19 Patient Who Underwent Endonasal Endoscopic Pituitary Adenoma Resection: A Case Report
Identifieur interne : 000E55 ( Ncbi/Checkpoint ); précédent : 000E54; suivant : 000E56A COVID-19 Patient Who Underwent Endonasal Endoscopic Pituitary Adenoma Resection: A Case Report
Auteurs : Wende Zhu ; Xing Huang ; Hongyang Zhao ; Xiaobing JiangSource :
- Neurosurgery [ 0148-396X ] ; 2020.
Abstract
A pituitary adenoma patient who underwent surgery in our department was diagnosed with COVID-19 and 14 medical staff were confirmed infected later. This case has been cited several times but without accuracy or entirety, we feel obligated to report it and share our thoughts on the epidemic among medical staff and performing endonasal endoscopic surgery during COVID-19 pandemic.
The patient developed a fever 3 d post endonasal endoscopic surgery during which cerebrospinal leak occurred, and was confirmed with SARS-CoV-2 infection later. Several medical staff outside the operating room were diagnosed with COVID-19, while the ones who participated in the surgery were not.
The deceptive nature of COVID-19 results from its most frequent onset symptom, fever, a cliché in neurosurgery, which makes it hard for surgeons to differentiate. The COVID-19 epidemic among medical staff in our department was deemed as postoperative rather than intraoperative transmission, and attributed to not applying sufficient personal airway protection. Proper personal protective equipment and social distancing between medical staff contributed to limiting epidemic since the initial outbreak. Emergency endonasal endoscopic surgeries are feasible since COVID-19 is still supposed to be containable when the surgeries are performed in negative pressure operating rooms with personal protective equipment and the patients are kept under quarantine postoperatively. However, we do not encourage elective surgeries during this pandemic, which might put patients in conditions vulnerable to COVID-19.
Url:
DOI: 10.1093/neuros/nyaa147
PubMed: 32302399
PubMed Central: 7188148
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A COVID-19 Patient Who Underwent Endonasal Endoscopic Pituitary Adenoma Resection: A Case Report</title><author><name sortKey="Zhu, Wende" sort="Zhu, Wende" uniqKey="Zhu W" first="Wende" last="Zhu">Wende Zhu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Huang, Xing" sort="Huang, Xing" uniqKey="Huang X" first="Xing" last="Huang">Xing Huang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Zhao, Hongyang" sort="Zhao, Hongyang" uniqKey="Zhao H" first="Hongyang" last="Zhao">Hongyang Zhao</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Jiang, Xiaobing" sort="Jiang, Xiaobing" uniqKey="Jiang X" first="Xiaobing" last="Jiang">Xiaobing Jiang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32302399</idno><idno type="pmc">7188148</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188148</idno><idno type="RBID">PMC:7188148</idno><idno type="doi">10.1093/neuros/nyaa147</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000787</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000787</idno><idno type="wicri:Area/Pmc/Curation">000787</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000787</idno><idno type="wicri:Area/Pmc/Checkpoint">000702</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000702</idno><idno type="wicri:Area/Ncbi/Merge">000E55</idno><idno type="wicri:Area/Ncbi/Curation">000E55</idno><idno type="wicri:Area/Ncbi/Checkpoint">000E55</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A COVID-19 Patient Who Underwent Endonasal Endoscopic Pituitary Adenoma Resection: A Case Report</title><author><name sortKey="Zhu, Wende" sort="Zhu, Wende" uniqKey="Zhu W" first="Wende" last="Zhu">Wende Zhu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Huang, Xing" sort="Huang, Xing" uniqKey="Huang X" first="Xing" last="Huang">Xing Huang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Zhao, Hongyang" sort="Zhao, Hongyang" uniqKey="Zhao H" first="Hongyang" last="Zhao">Hongyang Zhao</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Jiang, Xiaobing" sort="Jiang, Xiaobing" uniqKey="Jiang X" first="Xiaobing" last="Jiang">Xiaobing Jiang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Neurosurgery</title><idno type="ISSN">0148-396X</idno><idno type="eISSN">1524-4040</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><sec id="abs1"><title>BACKGROUND AND IMPORTANCE</title><p>A pituitary adenoma patient who underwent surgery in our department was diagnosed with COVID-19 and 14 medical staff were confirmed infected later. This case has been cited several times but without accuracy or entirety, we feel obligated to report it and share our thoughts on the epidemic among medical staff and performing endonasal endoscopic surgery during COVID-19 pandemic.</p></sec><sec id="abs2"><title>CLINICAL PRESENTATION</title><p>The patient developed a fever 3 d post endonasal endoscopic surgery during which cerebrospinal leak occurred, and was confirmed with SARS-CoV-2 infection later. Several medical staff outside the operating room were diagnosed with COVID-19, while the ones who participated in the surgery were not.</p></sec><sec id="abs3"><title>CONCLUSION</title><p>The deceptive nature of COVID-19 results from its most frequent onset symptom, fever, a cliché in neurosurgery, which makes it hard for surgeons to differentiate. The COVID-19 epidemic among medical staff in our department was deemed as postoperative rather than intraoperative transmission, and attributed to not applying sufficient personal airway protection. Proper personal protective equipment and social distancing between medical staff contributed to limiting epidemic since the initial outbreak. Emergency endonasal endoscopic surgeries are feasible since COVID-19 is still supposed to be containable when the surgeries are performed in negative pressure operating rooms with personal protective equipment and the patients are kept under quarantine postoperatively. However, we do not encourage elective surgeries during this pandemic, which might put patients in conditions vulnerable to COVID-19.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Schwartz, J" uniqKey="Schwartz J">J Schwartz</name></author><author><name sortKey="King, Cc" uniqKey="King C">CC King</name></author><author><name sortKey="Yen, My" uniqKey="Yen M">MY Yen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cohen, E" uniqKey="Cohen E">E Cohen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Li, J Y" uniqKey="Li J">J-Y Li</name></author><author><name sortKey="You, Z" uniqKey="You Z">Z You</name></author><author><name sortKey="Wang, Q" uniqKey="Wang Q">Q Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lauer, Sa" uniqKey="Lauer S">SA Lauer</name></author><author><name sortKey="Grantz, Kh" uniqKey="Grantz K">KH Grantz</name></author><author><name sortKey="Bi, Q" uniqKey="Bi Q">Q Bi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stollings, Lm" uniqKey="Stollings L">LM Stollings</name></author><author><name sortKey="Jia, Lj" uniqKey="Jia L">LJ Jia</name></author><author><name sortKey="Tang, P" uniqKey="Tang P">P Tang</name></author><author><name sortKey="Dou, H" uniqKey="Dou H">H Dou</name></author><author><name sortKey="Lu, B" uniqKey="Lu B">B Lu</name></author><author><name sortKey="Xu, Y" uniqKey="Xu Y">Y Xu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mukherjee, A" uniqKey="Mukherjee A">A Mukherjee</name></author><author><name sortKey="Helbert, M" uniqKey="Helbert M">M Helbert</name></author><author><name sortKey="Davis, J" uniqKey="Davis J">J Davis</name></author><author><name sortKey="Shalet, S" uniqKey="Shalet S">S Shalet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rothe, C" uniqKey="Rothe C">C Rothe</name></author><author><name sortKey="Schunk, M" uniqKey="Schunk M">M Schunk</name></author><author><name sortKey="Sothmann, P" uniqKey="Sothmann P">P Sothmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zou, L" uniqKey="Zou L">L Zou</name></author><author><name sortKey="Ruan, F" uniqKey="Ruan F">F Ruan</name></author><author><name sortKey="Huang, M" uniqKey="Huang M">M Huang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Doremalen, N" uniqKey="Van Doremalen N">N van Doremalen</name></author><author><name sortKey="Bushmaker, T" uniqKey="Bushmaker T">T Bushmaker</name></author><author><name sortKey="Morris, Dh" uniqKey="Morris D">DH Morris</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Huang, Xing" sort="Huang, Xing" uniqKey="Huang X" first="Xing" last="Huang">Xing Huang</name><name sortKey="Jiang, Xiaobing" sort="Jiang, Xiaobing" uniqKey="Jiang X" first="Xiaobing" last="Jiang">Xiaobing Jiang</name><name sortKey="Zhao, Hongyang" sort="Zhao, Hongyang" uniqKey="Zhao H" first="Hongyang" last="Zhao">Hongyang Zhao</name><name sortKey="Zhu, Wende" sort="Zhu, Wende" uniqKey="Zhu W" first="Wende" last="Zhu">Wende Zhu</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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