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Case Reports
. 2021 Sep 27;35(1):56-57.
doi: 10.1080/08998280.2021.1973274. eCollection 2022.

Severe post-COVID-19 costochondritis in children

Reagan A Collins  1 , Nandini Ray  1 , Kelly Ratheal  2 , Athos Colon  3
Affiliations
Case Reports

Severe post-COVID-19 costochondritis in children

Reagan A Collins et al. Proc (Bayl Univ Med Cent). .

Abstract

Although children comprise the fewest cases of COVID-19 infection, symptoms, and complications among the various age groups affected, new long-term consequences are being reported. Here, we report a case of severe costochondritis unresponsive to traditional management in a child who had COVID-19 infection a few months earlier. To our knowledge, this is the first reported case of post-COVID-19 costochondritis (PCC) that has been successfully managed with colchicine. We recommend the consideration of colchicine as therapy for PCC in children presenting with severe musculoskeletal chest pain unresponsive to nonsteroidal anti-inflammatory drugs or steroids. Physicians should maintain a high clinical suspicion for PCC to prevent unnecessary steroid treatment, frequent emergency department visits, and potential for drug abuse in these patients with severe chest pain.

Keywords: COVID-19; Colchicine; SARS-CoV-2; costochondritis; nonsteroidal anti-inflammatory drugs.

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References

    1. Say D, Crawford N, McNab S, et al. . Post-acute COVID-19 outcomes in children with mild and asymptomatic disease. Lancet Child Adolesc Health. 2021;5:e22–e23. doi:10.1016/S2352-4642(21)00124-3. - DOI - PMC - PubMed
    1. Ludvigsson JF. Case report and systematic review suggest that children may experience similar long-term effects to adults after clinical COVID-19. Acta Paediatr. 2021;110:914–921. doi:10.1111/apa.15673. - DOI - PMC - PubMed
    1. Denina M, Pruccoli G, Scolfaro C, et al. . Sequelae of COVID-19 in hospitalized children: a 4-months follow-up. Pediatr Infect Dis J. 2020;39:e458–e459. doi:10.1097/INF.0000000000002937. - DOI - PubMed
    1. Schumann JA, Sood T, Parente JJ.. Costochondritis. In: StatPearls. Treasure Island, FL: StatPearls; 2021. - PubMed
    1. Reddy SR, Singh HR.. Chest pain in children and adolescents. Pediatr Rev. 2010;31:e1–e9. doi:10.1542/pir.31-1-e1. - DOI - PubMed

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