Coronavirus Disease 19 (COVID-19) complicated with post-viral arthritis.

IF 1 4区 医学 Q4 RHEUMATOLOGY
Acta reumatologica portuguesa Pub Date : 2020-10-01
Isabel Fragata, Ana Filipa Mourão
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引用次数: 0

Abstract

Coronavirus disease 2019 (COVID-19) was reported in Europe in the beginning of February 2020. Typical symptoms included fever, cough and dyspnea, and not much was known about the clinical evolution of the disease. Herein, we report a case of a late complication of COVID-19 infection in a 41-year-old female. The patient presented with a 4-day history of myalgia, low fever, rhinorrhea and loss of smell. COVID-19 was confirmed by real-time polymerase chain reaction (PCR). The patient recovered with conservative treatment, and PCR for COVID-19 turned negative after 5 weeks. However, at 4 weeks after the beginning of the viral symptoms, the patient developed severe arthralgia of some interphalangeal joints of the hands, that lasted for 4 weeks. Laboratory workup revealed no significant changes, and the symptoms resolved with a short course of oral steroids. Reactive viral arthritis might be a late complication of COVID-19.

冠状病毒病19 (COVID-19)并发病毒后关节炎。
2020年2月初,欧洲报告了2019冠状病毒病(COVID-19)。典型症状包括发烧、咳嗽和呼吸困难,对该病的临床演变知之甚少。在此,我们报告了一例41岁女性COVID-19感染的晚期并发症。患者有4天的肌痛、低烧、鼻漏和嗅觉丧失病史。实时聚合酶链反应(real-time polymerase chain reaction, PCR)检测新冠肺炎。患者经保守治疗痊愈,5周后PCR检测呈阴性。然而,在病毒症状开始后4周,患者出现手部部分指间关节的严重关节痛,持续4周。实验室检查显示无明显变化,口服类固醇短期疗程后症状消失。反应性病毒性关节炎可能是COVID-19的晚期并发症。
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来源期刊
Acta reumatologica portuguesa
Acta reumatologica portuguesa 医学-风湿病学
自引率
0.00%
发文量
0
审稿时长
>12 weeks
期刊介绍: Acta Reumatólogica Portuguesa is a scientific peer reviewed journal covering all aspects of rheumatic diseases and related to Rheumatology. The journal publishes original articles, reviews, clinical cases, images in rheumatology, letters to the editor and clinical teaching (e.g. guidelines and clinical protocols). Published since 1973, Acta Reumatológica Portuguesa is the official scientific publication of the Portuguese Society of Rheumatology, a non-profit organization that promotes the knowledge and investigation of rheumatic diseases and the development of Rheumatology.
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