Publication: Major Spinal Surgery Between Two Documented COVID-19 Infections in an Elderly Female: A Case Report Authors
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
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.
Description
Bishruti Sharma
Department of Neurosurgery, Chirayau National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal
https://orcid.org/0000-0001-8128-3388
Nabin Paudyal
Department of Surgery, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal
Binod Rajbhandari
Department of Neurosurgery, Chirayau National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal
Amit Pradhanang
Department of Neurosurgery, Chirayau National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal
Nikita Dwa
Department of Internal Medicine, Chirayau National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal
Ajay Pradhan
Department of Internal Medicine, Chirayau National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal
Mohan Raj Sharma
Department of Neurosurgery, Chirayau National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal
Keywords
COVID-19, re-infection, spinal fracture