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The Journal of Bone and Joint Surgery (American) 85:1339-1342 (2003)
© 2003 The Journal of Bone and Joint Surgery, Inc.

Case Report

Severe Acute Respiratory Syndrome (SARS) in a Geriatric Patient with a Hip Fracture

A Case Report

Kwok Chuen Wong, MB, ChB, FRCSEd(Orth), Kwok Sui Leung, MD, FRCSEd and Mamie Hui, MB, ChB, MRCPath

Investigation performed at the Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong Special Administrative Region, China

Kwok Chuen Wong, MB, ChB, FRCSEd(Orth)
Kwok Sui Leung, MD, FRCSEd
Mamie Hui, MB, ChB, MRCPath
Department of Orthopaedics and Traumatology (K.C.W. and K.S. L.) and Department of Microbiology (M.H.), Chinese University of Hong Kong, 5/F, Clinical Science Building, Prince of Wales Hospital, Hong Kong Special Administrative Region, China. E-mail address for K.C. Wong: skcwong@ort.cuhk.edu.hk

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The first 150 words of the full text of this article appear below.


   Introduction
 
In March 2003, there was an outbreak of atypical pneumonia in Hong Kong. The World Health Organization (WHO) has termed the illness severe acute respiratory syndrome (SARS). The disease is highly contagious and has spread rapidly throughout the world. Globally, there were more than 3000 reported cases and 154 related deaths as of April 14, 2003 1 .

We report a case of an eighty-one-year-old woman who sustained an intertrochanteric fracture. Her postoperative course was complicated by a suspected aspiration pneumonia. She did not have the typically reported clinical features of SARS or a definite history of contact with a patient with SARS. She died of severe respiratory failure. An autopsy showed typical findings of SARS.


   Case Report
 
An eighty-one-year-old woman who resided in a home for the elderly had a history of chronic obstructive airway disease. She had no history of contact with a SARS patient. She was admitted to the orthopaedic . . . [Full Text of this Article]


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