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Case Reports
. 2024 Jan 23;12(1):e8462.
doi: 10.1002/ccr3.8462. eCollection 2024 Jan.

Covid-19-related right hip monoarthritis: A case report and literature review

Ayouba Tinni Ismael  1   2 , Kossi Odjo Dogbe Yves-Zakari  3 , Bayala Yannick Laurent Tchenadoyo  2 , Boulama Malam Boulama Mamadou  1 , Yameogo Wendyam Nadège  2 , Abdoul Aziz  2 , Aboubacar Rachidou  1 , Moussa Fanata  1
Affiliations
Case Reports

Covid-19-related right hip monoarthritis: A case report and literature review

Ayouba Tinni Ismael et al. Clin Case Rep. .

Abstract

This article presents the case of a young patient with severe acute left hip pain who tested positive for COVID-19. The diagnostic approach and management are presented, followed by a review of the literature. This 11-year-old student was admitted for acute left hip pain of abrupt onset, inflammatory, evolving for 24 h in a febrile context with no change in general condition. The initial workup revealed a hyperleukocytosis in the blood count, CRP 198.52 mg/L, and a 95 mm SV. The pelvic X-ray was unremarkable, and the hip ultrasound showed synovial hypertrophy, with no effusion on Doppler examination. The situation worsened 24 h later with the onset of acute respiratory distress syndrome. The chest X-ray showed bilateral alveolar interstitial lung disease, and the CT scan showed hyperdensity and crazy paving. The COVID-19 RDT test on a nasopharyngeal sample came back positive, as did the RT-PCR. Death occurred a few hours later in acute respiratory distress. Our case is consistent with what has been reported in the literature, but requires further study on an international scale to better define the phenotype of the disease.

Keywords: COVID‐19; acute arthritis; hip; rheumatology.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Frontal radiograph of the pelvis.
FIGURE 2
FIGURE 2
Chest CT scan, axial section, parenchymal window. Crazy paving hyperdensities.
See this image and copyright information in PMC

References

    1. Zhu N, Zhang D, Wang W, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727‐733. doi:10.1056/NEJMoa2001017 - DOI - PMC - PubMed
    1. Bauduer F. La pandémie de COVID‐19: retour vers le futur ou le combat sans fin entre l'Homme et les microbes. Presse Médicale Form. 2020;1(6):655‐662. [cité 21 nov 2020]; Disponible sur. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7598551/
    1. Yao Y, Chen W, Wu X, et al. Clinical characteristics of COVID‐19 patients in three consecutive generations of spread in Zhejiang, China. Clin Microbiol Infect. 2020;26(10):1380‐1385. doi:10.1016/j.cmi.2020.06.018 - DOI - PMC - PubMed
    1. Baj J, Karakuła‐Juchnowicz H, Teresiński G, Buszewicz G, Ciesielka M, Sitarz R, Forma A., Karakuła K., Flieger W., Portincasa P., Maciejewski R. COVID‐19: specific and non‐specific clinical manifestations and symptoms: the current state of knowledge. J Clin Med 5 juin 2020;9(6):1753. 10.3390/jcm9061753 - DOI - PMC - PubMed
    1. Ramani SL, Samet J, Franz CK, et al. Musculoskeletal involvement of COVID‐19: review of imaging. Skeletal Radiol Sept. 2021;50(9):1763‐1773. doi:10.1007/s00256-021-03734-7 - DOI - PMC - PubMed

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