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Conservatively Treated Femoral Intertrochanteric Fracture With Early Asymptomatic Novel Coronavirus Disease 2019 (COVID-19) : A Case Report

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Title: Conservatively Treated Femoral Intertrochanteric Fracture With Early Asymptomatic Novel Coronavirus Disease 2019 (COVID-19) : A Case Report
Authors: Suzuki, Yuki Browse this author
Kasashima, Toshihiko Browse this author
Hontani, Kazutoshi Browse this author →KAKEN DB
Yamamoto, Yasuhiro Browse this author
Ito, Kanako Browse this author
Xu, Liang Browse this author
Matsuoka, Masatake Browse this author →KAKEN DB
Iwasaki, Koji Browse this author →KAKEN DB
Onodera, Tomohiro Browse this author →KAKEN DB
Kondo, Eiji Browse this author →KAKEN DB
Iwasaki, Norimasa Browse this author →KAKEN DB
Keywords: geriatric trauma
femoral intertrochanteric fracture
coronavirus infection disease 2019 (COVID-19)
asymptomatic COVID-19
chest CT
real-time reverse-transcriptase-polymerase-chain-reaction (RT-PCR)
Issue Date: 27-Oct-2020
Publisher: SAGE Publications
Journal Title: Geriatric Orthopaedic Surgery and Rehabilitation
Volume: 11
Start Page: 2151459320969380
Publisher DOI: 10.1177/2151459320969380
Abstract: Introduction: The ongoing outbreak of novel coronavirus disease 2019 (COVID-19) is a worldwide problem. Although diagnosing COVID-19 in fracture patients is important for selecting treatment, diagnosing early asymptomatic COVID-19 is difficult. We describe herein a rare case of femoral intertrochanteric fracture concomitant with early asymptomatic novel COVID-19. Case presentation: An 87-year-old Japanese woman was transferred to our emergency room with a right hip pain after she fell. She had no fever, fatigue, or respiratory symptoms on admission and within the 14 days before presenting to our hospital, and no specific shadow was detected in chest X-ray. However, chest computed tomography (CT) was performed considering COVID-19 pandemic, and showed ground-glass opacities with consolidation in the dorsal segment of the right lower lung field. Then, qualitative real-time reverse-transcriptase-polymerase-chain-reaction (RT-PCR) was carried out and turned out to be positive. She was diagnosed right femoral intertrochanteric fracture with concomitant COVID-19 infection. Conservative treatment was applied to the fracture due to infection. After admission, fever and oxygen demand occurred but she recovered from COVID-19. Throughout the treatment period, no cross-infection from the patient was identified in our hospital. Conclusion: This case highlights the importance of considering chest CT as an effective screening method for infection on hospital admission in COVID-19-affected areas, especially in trauma patients with early asymptomatic novel COVID-19.
Type: article
Appears in Collections:国際連携研究教育局 : GI-CoRE (Global Institution for Collaborative Research and Education : GI-CoRE) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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