Department of Neurosurgery, Chirayau National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal.
Department of Surgery, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal.
JNMA J Nepal Med Assoc. 2021 Oct 15;59(242):1044-1047. doi: 10.31729/jnma.6507.
Documented re-infection of COVID-19 is uncommon and doing a major spinal surgery in an elderly patient right after the recovery from the first event is itself a major undertaking. Re-infection after successful surgery points to the possibility of COVID-19 infection being a post-surgical complication. Here, we report a case of a 72-years-old elderly female who had presented to us with features of COVID-19 infection confirmed by reverse transcription polymerase chain reaction assay and unstable spinal fracture who underwent a pedicle screw fixation for the fracture of the third and fourth thoracic vertebrae after two consecutive negative serology assays. A month after discharge from the hospital, she presented with severe symptoms of COVID-19 again confirmed by two consecutive polymerase chain reaction assays. She was managed conservatively and was discharged without significant respiratory and neurological complications. We described this case in detail in addition to reviewing the pertinent literature.
有记录的 COVID-19 再次感染并不常见，在老年患者从第一次感染中康复后立即进行大型脊柱手术本身就是一项重大挑战。手术后的再次感染表明 COVID-19 感染可能是手术后的并发症。在这里，我们报告了一例 72 岁老年女性的病例，该患者因 COVID-19 感染出现特征性症状，经逆转录聚合酶链反应检测证实，且不稳定的脊柱骨折在两次连续血清学检测阴性后接受了第三和第四胸椎骨折的椎弓根螺钉固定术。出院一个月后，她因两次连续聚合酶链反应检测再次出现严重的 COVID-19 症状而再次入院。她接受了保守治疗，出院时没有出现明显的呼吸和神经并发症。除了回顾相关文献外，我们还详细描述了这个病例。
