Abstract:
Introduction: Telemedicine is the use of wireless communications and web - based technologies to provide health care and services. The Covid-19 pandemic has posed an unprecedented challenge to health-care providers, who have been forced to change their usual mode of service delivery and given an opportunity to adopt the concept of telemedicine.
Case history: A 40 year old underprivileged and unseparated conjoined twin (Pygopagus) had dorsal spine tuberculosis and was on a regular follow-up through telemedicine due to ongoing Covid-19 pandemic and embarrassement they had to face in public appearances. After few months, they contracted Covid-19 infection following which they were shifted to our tertiary care center. Several unique challenges were encountered during the course of management. Ultimately, they succumbed and left us with questions that whether we are really prepared to tackle these challenges.
A Key Clinical Message: The general public should be made aware of such group of patients and make them follow covid appropriate behavior. Vaccination to be given on priority basis to these subsets. A more robust approach of telemedicine consultation is required for management of patients in remote areas at the time of pandemic.
Key Words: Covid-19, Conjoined twin, Pyopagus, Telemedicine, Rural