Reactive arthritis after COVID-19

Autor: Marie-Louise From Hermansen, Merete Storgaard, B. L. Hønge
Rok vydání: 2021
Předmět:
0301 basic medicine
Male
Knee Joint
Anti-Inflammatory Agents
Non-Steroidal/administration & dosage

Anti-Inflammatory Agents
rheumatology
Arthritis
Case Report
030105 genetics & heredity
Gastroenterology
Arthritis
Rheumatoid

immunology
0302 clinical medicine
Synovial Fluid
Arthritis/drug therapy
Medicine
Anti-Inflammatory Agents
Non-Steroidal

General Medicine
Middle Aged
Arthralgia
Knee Joint/diagnostic imaging
Pathophysiology
Treatment Outcome
Lower Extremity
Arthritis
Rheumatoid/diagnosis

COVID-19/complications
Prednisolone
Radiography/methods
medicine.drug
Prednisolone/administration & dosage
musculoskeletal diseases
medicine.medical_specialty
Synovial Fluid/cytology
Anti-Inflammatory Agents/administration & dosage
Arthritis
Reactive/diagnosis

Arthritis
Reactive

Diagnosis
Differential

03 medical and health sciences
Internal medicine
Rheumatoid factor
Synovial fluid
Humans
Reactive arthritis
Arthralgia/diagnosis
Autoantibodies/analysis
Autoantibodies
business.industry
Autoantibody
COVID-19
Lower Extremity/pathology
medicine.disease
Rheumatology
Radiography
business
030217 neurology & neurosurgery
Zdroj: BMJ Case Reports
Hønge, B L, Hermansen, M-L F & Storgaard, M 2021, ' Reactive arthritis after COVID-19 ', BMJ Case Reports, vol. 14, no. 3, e241375 . https://doi.org/10.1136/bcr-2020-241375
ISSN: 1757-790X
DOI: 10.1136/bcr-2020-241375
Popis: A previously healthy 53-year-old man was hospitalised for 12 days due to COVID-19 with shortness of breath. A few days after discharge from hospital, the patient developed fever and severe pain in several joints in the lower extremities. The pain was so severe that the patient was unable to stand on his feet. Synovial fluid from the right-side knee contained a high number of polynuclear cells and a few mononuclear cells. Microscopy, culture and PCR tests for bacterial infection were all negative. Furthermore, the patient tested negative for rheumatoid factor, anti-cyclic citrullinated peptide and human leukocyte antigen (HLA)-B27. Thus, the condition was compatible with reactive arthritis. The condition improved markedly after a few days’ treatment with non-steroid anti-inflammatory drugs and prednisolone.
Databáze: OpenAIRE