Critical illness myopathy after COVID-19
| Autor: | Cristina Boccagni, Tiziana D’Agostino, Francesca Rubino, Sergio Bagnato, Giorgio Marino, Caterina Prestandrea |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Microbiology (medical) medicine.medical_specialty Weakness electromyography COVID-19 Rehabilitation ICU-acquired weakness Direct muscle stimulation Electromyography SARS-CoV-2 Critical Illness Myopathy medicine.medical_treatment 030106 microbiology Article lcsh:Infectious and parasitic diseases law.invention rehabilitation 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Tibialis anterior muscle law medicine lcsh:RC109-216 030212 general & internal medicine Myopathy medicine.diagnostic_test business.industry Muscle weakness General Medicine Intensive care unit Infectious Diseases medicine.symptom business |
| Zdroj: | International journal of infectious diseases, 99:276-278 International Journal of Infectious Diseases International Journal of Infectious Diseases, Vol 99, Iss, Pp 276-278 (2020) |
| Popis: | Highlights • Muscle weakness after COVID-19 can be caused by critical illness myopathy. • Critical illness myopathy should be suspected in patients with long ICU stay. • Health systems must plan access to rehabilitative facilities after COVID-19. We describe a patient who developed diffuse and symmetrical muscle weakness after a long stay in the intensive care unit (ICU) due to coronavirus disease 2019 (COVID-19). The patient underwent a neurophysiological protocol, including nerve conduction studies, concentric needle electromyography (EMG) of the proximal and distal muscles, and direct muscle stimulation (DMS). Nerve conduction studies showed normal sensory conduction and low-amplitude compound muscle action potentials (CMAPs). EMG revealed signs of myopathy, which were more pronounced in the lower limbs. The post-DMS CMAP was absent in the quadriceps and of reduced amplitude in the tibialis anterior muscle. Based on these clinical and neurophysiological findings, a diagnosis of critical illness myopathy was made according to the current diagnostic criteria. Given the large number of patients with COVID-19 who require long ICU stays, many of these patients are very likely to develop ICU-acquired weakness, as did the patient described here. Health systems must plan to provide adequate access to rehabilitative facilities for both pulmonary and motor rehabilitative treatment after COVID-19. |
| Databáze: | OpenAIRE |
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