Table 3. Characteristics of the main cusses of fever postoperatively during the outbreak period of coronavirus disease 2019 (COVID-19) infection.
Causes | Time (days) | Typical clinical feature |
---|---|---|
Non-infectious postoperative fever | <2 | (I) Fever; |
(II) Normal WBC count, CRP and PCT levels; | ||
(III) Normal chest imaging; | ||
(IV) Viral nucleic acid test result negative | ||
Surgical site infection | >3 | (I) Chills, rigors, fever, purulent drainage; |
(II) Elevated WBC count, CRP and PCT levels; | ||
(III) Normal chest imaging; | ||
(IV) Viral nucleic acid test result negative | ||
Lung diseases | ||
Atelectasis | <2 | (I) Fever, dry cough, hypoxemia, dyspnea; |
(II) Normal WBC count, CRP and PCT levels; | ||
(III) Uniform ground glass opacity; | ||
(IV) Viral nucleic acid test result negative | ||
Bacterial pneumonia | >2 | (I) Fever, chills, rigors, cough, expectorations); |
(II) Elevated WBC count, CRP and PCT levels; | ||
(III) Infiltrative shadow, consolidation; | ||
(IV) Viral nucleic acid test result negative | ||
COVID-19 infected pneumonia | 1–24 [5]† | (I) Fever, dry cough, fatigue; |
(II) Lymphopenia, decreased or normal WBC count; | ||
(III) Bilateral patchy shadows or ground glass opacity; | ||
(IV) COVID-19 viral nucleic acid test result negative |
†, the number is recorded as incubation period. COVID-19, coronavirus disease 2019; CRP, C-reactive protein; PCT, procalcitonin; WBC, white blood cell.