From the Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand (SP, AK); and Department of Rehabilitation Medicine, Patong Hospital, Phuket, Thailand (CT).
Am J Phys Med Rehabil. 2020 Aug;99(8):674-676. doi: 10.1097/PHM.0000000000001485.
During the pandemic of coronavirus disease 2019, it is possible for rehabilitation physicians and personnel to take care of patients with concurrent spinal cord injury and coronavirus disease 2019. Here, we describe a case of acute cervical spinal cord injury resulting in complete tetraplegia C5 American Spinal Injury Association Impairment Scale A with unrecognized, severe acute respiratory syndrome coronavirus 2 infection. This resulted in large-scale quarantines of related surgical and rehabilitation staff, and the unexpected death of the patient despite receiving the treatments according to the standard guideline. Rehabilitation personnel who take care of acute spinal cord injury patients with coronavirus disease 2019 should consider the effect of spinal cord injury on the course of coronavirus disease 2019, the effect of coronavirus disease 2019 and its treatments on the course of spinal cord injury, and risks of severe acute respiratory syndrome coronavirus 2 transmission between patients and rehabilitation staff, to continue providing safe and effective rehabilitation programs.
在 2019 年冠状病毒病大流行期间，康复医师和人员有可能照顾同时患有脊髓损伤和 2019 年冠状病毒病的患者。在这里，我们描述了一例急性颈脊髓损伤导致 C5 完全性四肢瘫痪美国脊髓损伤协会损伤量表 A 级，伴有未被识别的严重急性呼吸综合征冠状病毒 2 感染的病例。这导致相关手术和康复人员大规模隔离，尽管按照标准指南进行了治疗，但患者仍意外死亡。照顾患有 2019 年冠状病毒病的急性脊髓损伤患者的康复人员应考虑脊髓损伤对 2019 年冠状病毒病病程的影响、2019 年冠状病毒病及其治疗对脊髓损伤病程的影响，以及严重急性呼吸综合征冠状病毒 2 在患者和康复人员之间传播的风险，以继续提供安全有效的康复方案。
