Conservatively Treated Femoral Intertrochanteric Fracture With Early Asymptomatic Novel Coronavirus Disease 2019 (COVID-19): A Case Report
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 intertrochant...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-10-01
|
| Series: | Geriatric Orthopaedic Surgery & Rehabilitation |
| Online Access: | https://doi.org/10.1177/2151459320969380 |
| _version_ | 1828338726621675520 |
|---|---|
| author | Yuki Suzuki MD, PhD Toshihiko Kasashima MD, PhD Kazutoshi Hontani MD, PhD Yasuhiro Yamamoto MD Kanako Ito MD Liang Xu MD, PhD Masatake Matsuoka MD, PhD Koji Iwasaki MD, PhD Tomohiro Onodera MD, PhD Eiji Kondo MD, PhD Norimasa Iwasaki MD, PhD |
| author_facet | Yuki Suzuki MD, PhD Toshihiko Kasashima MD, PhD Kazutoshi Hontani MD, PhD Yasuhiro Yamamoto MD Kanako Ito MD Liang Xu MD, PhD Masatake Matsuoka MD, PhD Koji Iwasaki MD, PhD Tomohiro Onodera MD, PhD Eiji Kondo MD, PhD Norimasa Iwasaki MD, PhD |
| author_sort | Yuki Suzuki MD, PhD |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T22:32:51Z |
| format | Article |
| id | doaj.art-dce5323a941a47cbaa9f90359ccb23e1 |
| institution | Directory Open Access Journal |
| issn | 2151-4593 |
| language | English |
| last_indexed | 2024-04-13T22:32:51Z |
| publishDate | 2020-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Geriatric Orthopaedic Surgery & Rehabilitation |
| spelling | doaj.art-dce5323a941a47cbaa9f90359ccb23e12022-12-22T02:26:53ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45932020-10-011110.1177/2151459320969380Conservatively Treated Femoral Intertrochanteric Fracture With Early Asymptomatic Novel Coronavirus Disease 2019 (COVID-19): A Case ReportYuki Suzuki MD, PhD0Toshihiko Kasashima MD, PhD1Kazutoshi Hontani MD, PhD2Yasuhiro Yamamoto MD3Kanako Ito MD4Liang Xu MD, PhD5Masatake Matsuoka MD, PhD6Koji Iwasaki MD, PhD7Tomohiro Onodera MD, PhD8Eiji Kondo MD, PhD9Norimasa Iwasaki MD, PhD10 Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan Department of Orthopaedic Surgery, Sapporo-Kosei General Hospital, Sapporo, Hokkaido, Japan Department of Orthopaedic Surgery, Sapporo-Kosei General Hospital, Sapporo, Hokkaido, Japan Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan Department of Orthopaedic Surgery, Sapporo-Kosei General Hospital, Sapporo, Hokkaido, Japan Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan Department of Functional Reconstruction for the Knee Joint, Faculty of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan Centre for Sports Medicine, Hokkaido University Hospital, Sapporo, Hokkaido, Japan Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, JapanIntroduction: 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.https://doi.org/10.1177/2151459320969380 |
| spellingShingle | Yuki Suzuki MD, PhD Toshihiko Kasashima MD, PhD Kazutoshi Hontani MD, PhD Yasuhiro Yamamoto MD Kanako Ito MD Liang Xu MD, PhD Masatake Matsuoka MD, PhD Koji Iwasaki MD, PhD Tomohiro Onodera MD, PhD Eiji Kondo MD, PhD Norimasa Iwasaki MD, PhD Conservatively Treated Femoral Intertrochanteric Fracture With Early Asymptomatic Novel Coronavirus Disease 2019 (COVID-19): A Case Report Geriatric Orthopaedic Surgery & Rehabilitation |
| title | Conservatively Treated Femoral Intertrochanteric Fracture With Early Asymptomatic Novel Coronavirus Disease 2019 (COVID-19): A Case Report |
| title_full | Conservatively Treated Femoral Intertrochanteric Fracture With Early Asymptomatic Novel Coronavirus Disease 2019 (COVID-19): A Case Report |
| title_fullStr | Conservatively Treated Femoral Intertrochanteric Fracture With Early Asymptomatic Novel Coronavirus Disease 2019 (COVID-19): A Case Report |
| title_full_unstemmed | Conservatively Treated Femoral Intertrochanteric Fracture With Early Asymptomatic Novel Coronavirus Disease 2019 (COVID-19): A Case Report |
| title_short | Conservatively Treated Femoral Intertrochanteric Fracture With Early Asymptomatic Novel Coronavirus Disease 2019 (COVID-19): A Case Report |
| title_sort | conservatively treated femoral intertrochanteric fracture with early asymptomatic novel coronavirus disease 2019 covid 19 a case report |
| url | https://doi.org/10.1177/2151459320969380 |
| work_keys_str_mv | AT yukisuzukimdphd conservativelytreatedfemoralintertrochantericfracturewithearlyasymptomaticnovelcoronavirusdisease2019covid19acasereport AT toshihikokasashimamdphd conservativelytreatedfemoralintertrochantericfracturewithearlyasymptomaticnovelcoronavirusdisease2019covid19acasereport AT kazutoshihontanimdphd conservativelytreatedfemoralintertrochantericfracturewithearlyasymptomaticnovelcoronavirusdisease2019covid19acasereport AT yasuhiroyamamotomd conservativelytreatedfemoralintertrochantericfracturewithearlyasymptomaticnovelcoronavirusdisease2019covid19acasereport AT kanakoitomd conservativelytreatedfemoralintertrochantericfracturewithearlyasymptomaticnovelcoronavirusdisease2019covid19acasereport AT liangxumdphd conservativelytreatedfemoralintertrochantericfracturewithearlyasymptomaticnovelcoronavirusdisease2019covid19acasereport AT masatakematsuokamdphd conservativelytreatedfemoralintertrochantericfracturewithearlyasymptomaticnovelcoronavirusdisease2019covid19acasereport AT kojiiwasakimdphd conservativelytreatedfemoralintertrochantericfracturewithearlyasymptomaticnovelcoronavirusdisease2019covid19acasereport AT tomohiroonoderamdphd conservativelytreatedfemoralintertrochantericfracturewithearlyasymptomaticnovelcoronavirusdisease2019covid19acasereport AT eijikondomdphd conservativelytreatedfemoralintertrochantericfracturewithearlyasymptomaticnovelcoronavirusdisease2019covid19acasereport AT norimasaiwasakimdphd conservativelytreatedfemoralintertrochantericfracturewithearlyasymptomaticnovelcoronavirusdisease2019covid19acasereport |