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