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Early Postoperative Pneumonia After Elective Primary Total Hip Arthroplasty in "COVID-19 Survivor": A Case Report
James D Brodell1, Mackenzie Neumaier1, Benjamin F Ricciardi1,2
1Department of Orthopedic Surgery, University of Rochester School of Medicine, Rochester, NY.
Case:
A 57-year-old woman with a history of COVID-19 pneumonia, myelodysplastic syndrome, type II diabetes mellitus, and nonalcoholic steatohepatitis underwent elective total hip arthroplasty 3 months after her COVID-19 infection had clinically resolved. Her postoperative course was complicated by COVID-19-negative pneumonia within 24 hours postoperatively requiring ICU admission.
Conclusion:
Patients who have previously recovered from COVID-19 infection may have long-lasting cardiopulmonary effects that may be asymptomatic. Further assessment of postoperative risk and guidance on preoperative evaluation of COVID-19 "survivors" is needed.
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