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Case Reports
. 2020 Aug 12;12(8):e9698.
doi: 10.7759/cureus.9698.

Reactive Arthritis in a 37-Year-Old Female With SARS-CoV2 Infection

Zach Danssaert  1 , George Raum  2 , Somkiat Hemtasilpa  3
Affiliations
Case Reports

Reactive Arthritis in a 37-Year-Old Female With SARS-CoV2 Infection

Zach Danssaert et al. Cureus. .

Abstract

We report the case of a 37-year-old female who presented for evaluation of acute 10/10 right hand pain, 12 days after testing positive for SARS-CoV2. The patient was admitted to the hospital due to the severity of her pain. As an inpatient, extensive workup by the medicine team and rheumatology revealed no structural, vascular, or neurogenic cause of her pain. The patient's blood work was unremarkable for elevations in lyme serology, antinuclear antibody (ANA), rheumatoid factor, and uric acid. It was determined that the cause of her pain was most likely reactive arthritis (ReA) secondary to her SARS-CoV2 infection. She was treated with voltaren gel, neurontin, and oral dilaudid as needed and discharged. Upon follow-up, her pain improved and she was prescribed a wrist splint, ultram, and occupational therapy for perceived wrist tendinitis. To our knowledge, this is the first description of a case of ReA caused by the SARS-CoV2 virus.

Keywords: keywords: sars-cov-2; reactive arthritis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. MRI of the right hand with contrast, axial view.
Inflammatory edematous changes surrounding the extensor tendons of the second, third, and fourth compartments (white arrows), and to a lesser extent the fifth and sixth extensor compartments. The second, third, and fourth extensor compartments with mild synovial enhancement involving the tendon sheaths.
See this image and copyright information in PMC

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