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Major Spinal Surgery Between Two Documented COVID-19 Infections in an Elderly Female: A Case Report
Bishruti Sharma1, Nabin Paudyal2, Binod Rajbhandari1
1Department of Neurosurgery, Chirayau National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal.
JNMA; Journal of the Nepal Medical Association
|February 24, 2022
Summary
This case study highlights an elderly patient who experienced a second COVID-19 infection post-spinal surgery. This rare re-infection suggests COVID-19 could be a post-surgical complication in vulnerable patients.
Area of Science:
- Infectious Diseases
- Neurosurgery
- Geriatric Medicine
Background:
- Elderly patients undergoing major spinal surgery present unique challenges.
- Documented COVID-19 re-infection is uncommon, making post-surgical recurrence a significant concern.
Observation:
- A 72-year-old female with COVID-19 and unstable spinal fracture underwent pedicle screw fixation.
- Post-recovery and surgery, she developed severe COVID-19 symptoms again, confirmed by PCR assays.
Findings:
- The patient's second COVID-19 infection occurred approximately one month after hospital discharge.
- Conservative management was successful, with no significant respiratory or neurological sequelae.
Implications:
- This case suggests COVID-19 re-infection may occur as a post-surgical complication in elderly individuals.
- Further research is needed to understand the mechanisms and management of post-surgical COVID-19 recurrence.
