Perioperative Management in a Patient with Monkeypox: a Case Report

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Kulsiri Bumrungchatudom
Achara Prasitthisuksom
Siwatus Puangrab

Abstract

Monkeypox is a contagious disease caused by the monkeypox virus. It is an emerging problem and a new challenge for anesthetic personnel. Knowing more about the disease will permit to elaborate new supportive methods to simplify the diagnosis and the proper management. This case report describes the diagnostic approach and management of an adult Thai patient with HIV infection, hepatitis B and C, syphilis infection, and a history of intravenous drug use. An ischioanal abscess was developed at his buttock and it urgently required the surgical drainage. The operation was successfully performed by using a combination of perianal block and intravenous sedation.

Article Details

Section
Case reports

References

Tan JM, Loftus R, McMannus S, et al. Perioperative considerations for patients with Mpox (Monkeypox). APSF Newsletter. 2023;38:1,5-7.

Gessain A, Nakoune E, Yazdanpanah Y. Monkeypox. N Eng J Med. 2022;387:1783-93.

Malviya AK, Gupta A, Singh A, Gupta A. Anesthesia concerns for a patient with monkeypox requiring emergency surgery: a review. Saudi J Anaesth. 2022;16:440-3.

World Health Organization. Clinical management and infection prevention and control for monkeypox: interim rapid response guidance, 10 June 2022. Available from: https://apps.who.int/iris/rest/bitstreams/1432076/retrieve

Miller MJ, Cash-Goldwasser S, Marx GE, et al. Severe Monkeypox in hospitalized patients-United States, August 10-October 10, 2022. MMWR Morb Mortal Wkly Rep. 2022;71:1412-7.

Emergency preparedness and response. Severe manifestations of Monkeypox among people who are immunocompromised due to HIV or other conditions. Distributed via the CDC Health Alert Network. September 29, 2022 02:15 PM ET CDCHAN-00475. Available from: https://stacks.cdc.gov/view/cdc/122171/cdc_122171_DS1.pdf?download-document-submit=Download

Centers for Disease Control and Prevention (U.S.). Interim Tecovirimat (TPOXX) guidance and clinical considerations for pain management of Monkeypox. September 21, 2022. Available from: https://stacks.cdc.gov/view/cdc/124402/cdc_124402_DS1.pdf?download-document-submit=Download

Desai AN, Thompson III GR, Neumeister SM, Arutyunova AM, Trigg K, Cohen SH. Compassionate use of tecovirimat for the treatment of Monkeypox infection. JAMA. 2022;328:1348-50.

Gouel-Cheron A, Kantor E, Rioux C, Kerneis S, Montravers P. Monkeypox-infected patients in the perioperative context: recommendations from an expert centre. Anaesth Crit Care Pain Med. 2022;41:101122.