covid-19后反应性关节炎:SARSCoV-2感染的肌肉骨骼并发症谱中的新存在

M. I. Ghauri, M. Mukarram, KhizraIshaq Syeda Urooj Riaz
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引用次数: 4

摘要

反应性关节炎通常发生在胃肠道或性传播感染之前。然而,它与不同病毒感染的关联也有报道。在此,我们报告了一例34岁男性在严重急性呼吸综合征冠状病毒2感染(SARS-CoV-2)后几天出现反应性关节炎的病例。患者鼻咽拭子标本COVID-19感染阳性。考虑到他的病情轻微,建议他进行自我隔离/隔离,并给予药物治疗。10天后,他的右膝关节出现剧烈疼痛和压痛。他受影响关节的MRI显示髌骨-股腔室轻度积液(继发于炎症)。患者被诊断为反应性关节炎,并开了非甾体抗炎药(NSAIDs)。关节内注射了糖皮质激素,他的反应很明显。在接下来的十天里,他的症状完全消失了。
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Post covid-19 reactive arthritis: An emerging existence in the spectrum of musculoskeletal complications of SARSCoV-2 infection
Reactive arthritis is commonly preceded by a gastrointestinal or a sexually transmitted infection. However, its association with different viral infections has also been reported. Herein, we report a case of a 34 year old male who developed Reactive arthritis few days after the severe acute respiratory syndrome corona virus 2 infection (SARS-CoV-2). The patient was positive for COVID-19 infection from nasopharyngeal swab specimen. He was advised self-isolation/quarantine, considering his mild form of disease, along with medication. Ten days later he developed severe pain and tenderness in his right knee joint. His MRI of the affected joint revealed mild effusion (secondary to inflammation) in the patella-femoral compartment. Patient was diagnosed with Reactive arthritis and was prescribed Non-Steroidal Anti-Inflammatory Drugs (NSAIDs). Intra articular glucocorticoid was injected, to which he responded dramatically. His symptoms completely resolved in next ten days.
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