Reactive Hip Arthritis and Avascular Necrosis After Severe COVID-19 Infection: A Case Report and Comprehensive Review of Literature
COVID-19 has variable clinical presentations, severity, and multisystem involvement. Some patients have encountered arthralgia and myalgia symptoms. Reactive arthritis is an emerging musculoskeletal manifestation post-COVID-19 infection. The authors report a 29-year-old male, previously healthy, wh...
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| Format: | Article |
| Language: | English |
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European Medical Journal
2022-03-01
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| Series: | European Medical Journal Rheumatology |
| Online Access: | https://www.emjreviews.com/rheumatology/article/reactive-hip-arthritis-and-avascular-necrosis-after-severe-covid-19-infection-a-case-report-and-comprehensive-review-of-literature-j190121/ |
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| author | Fatima Alkindi Shamma Al Nokhatha Khalid Alseiari Khalid A. Alnaqb |
| author_facet | Fatima Alkindi Shamma Al Nokhatha Khalid Alseiari Khalid A. Alnaqb |
| author_sort | Fatima Alkindi |
| collection | DOAJ |
| description |
COVID-19 has variable clinical presentations, severity, and multisystem involvement. Some patients have encountered arthralgia and myalgia symptoms. Reactive arthritis is an emerging musculoskeletal manifestation post-COVID-19 infection. The authors report a 29-year-old male, previously healthy, who developed acute left hip arthritis 8 weeks after recovering from severe COVID-19 pneumonia. It was associated with bilateral avascular necrosis of femoral heads, with medullary bone infarctions at both proximal tibias. Human leukocyte antigen-B27 was positive and synovial fluid culture, autoimmune workup, crystals, and infectious aetiologies were negative. The patient’s clinical condition improved with the use of non-steroidal anti-inflammatory drugs and physiotherapy. To the best of the authors’ knowledge, this is the first case reported of hip arthritis and avascular necrosis following the COVID-19 infection. In addition, the authors reviewed the literature for the reported reactive arthritis cases post-COVID-19 infection and management outcomes. |
| format | Article |
| id | doaj-art-5703bdbebe764cc0ada7220f694a5282 |
| institution | Kabale University |
| issn | 2056-6395 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | European Medical Journal |
| record_format | Article |
| series | European Medical Journal Rheumatology |
| spelling | doaj-art-5703bdbebe764cc0ada7220f694a52822025-01-16T16:30:14ZengEuropean Medical JournalEuropean Medical Journal Rheumatology2056-63952022-03-01485510.33590/emj/21-00261Reactive Hip Arthritis and Avascular Necrosis After Severe COVID-19 Infection: A Case Report and Comprehensive Review of LiteratureFatima Alkindi0Shamma Al Nokhatha1Khalid Alseiari2Khalid A. Alnaqb3Internal Medicine Department. Tawam Hospital, Al Ain, United Arab EmiratesRheumatology Department, Tawam Hospital, Al Ain, United Arab EmiratesInternal Medicine Department. Tawam Hospital, Al Ain, United Arab EmiratesRheumatology Department, Tawam Hospital, Al Ain, United Arab Emirates; College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates COVID-19 has variable clinical presentations, severity, and multisystem involvement. Some patients have encountered arthralgia and myalgia symptoms. Reactive arthritis is an emerging musculoskeletal manifestation post-COVID-19 infection. The authors report a 29-year-old male, previously healthy, who developed acute left hip arthritis 8 weeks after recovering from severe COVID-19 pneumonia. It was associated with bilateral avascular necrosis of femoral heads, with medullary bone infarctions at both proximal tibias. Human leukocyte antigen-B27 was positive and synovial fluid culture, autoimmune workup, crystals, and infectious aetiologies were negative. The patient’s clinical condition improved with the use of non-steroidal anti-inflammatory drugs and physiotherapy. To the best of the authors’ knowledge, this is the first case reported of hip arthritis and avascular necrosis following the COVID-19 infection. In addition, the authors reviewed the literature for the reported reactive arthritis cases post-COVID-19 infection and management outcomes.https://www.emjreviews.com/rheumatology/article/reactive-hip-arthritis-and-avascular-necrosis-after-severe-covid-19-infection-a-case-report-and-comprehensive-review-of-literature-j190121/ |
| spellingShingle | Fatima Alkindi Shamma Al Nokhatha Khalid Alseiari Khalid A. Alnaqb Reactive Hip Arthritis and Avascular Necrosis After Severe COVID-19 Infection: A Case Report and Comprehensive Review of Literature European Medical Journal Rheumatology |
| title | Reactive Hip Arthritis and Avascular Necrosis After Severe COVID-19 Infection: A Case Report and Comprehensive Review of Literature |
| title_full | Reactive Hip Arthritis and Avascular Necrosis After Severe COVID-19 Infection: A Case Report and Comprehensive Review of Literature |
| title_fullStr | Reactive Hip Arthritis and Avascular Necrosis After Severe COVID-19 Infection: A Case Report and Comprehensive Review of Literature |
| title_full_unstemmed | Reactive Hip Arthritis and Avascular Necrosis After Severe COVID-19 Infection: A Case Report and Comprehensive Review of Literature |
| title_short | Reactive Hip Arthritis and Avascular Necrosis After Severe COVID-19 Infection: A Case Report and Comprehensive Review of Literature |
| title_sort | reactive hip arthritis and avascular necrosis after severe covid 19 infection a case report and comprehensive review of literature |
| url | https://www.emjreviews.com/rheumatology/article/reactive-hip-arthritis-and-avascular-necrosis-after-severe-covid-19-infection-a-case-report-and-comprehensive-review-of-literature-j190121/ |
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