Post SARS-CoV-2 infection reactive arthritis: a brief report of two pediatric cases. 2021

Reza Sinaei, and Sara Pezeshki, and Saeedeh Parvaresh, and Roya Sinaei, and Reza Shiari, and Mehrnoush Hassas Yeganeh, and Nasrin Bazargn, and Nava Gharaei
Department of Pediatrics, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.

BACKGROUND Although, preliminary reports of Severe Acute Respiratory Syndrome (SARS)-CoV-2 infection suggest that the infection causes a less severe illness in children, there is now growing evidence of other rare or even serious complications of disease. METHODS During the recent COVID-19 pandemic in Kerman, Iran, two children (an 8 year-old boy and a 6 year-old girl) were referred to outpatient Clinic of Pediatric Rheumatology with complaints of limping. Both children had experienced fever and mild respiratory tract infection. At the beginning of the second week of infection, they developed joint effusion. They both tested positive for coronavirus infection and were therefore diagnosed with post Coronavirus reactive arthritis. Both children were treated successfully with rest and Non-Steroidal Anti-Inflammatory Drugs (NSAID). They did not have any medical problems in the two months fallow up. CONCLUSIONS These two cases suggest that COVID-19 may be rheumatogenic. Highlighting the need for awareness of physicians, especially pediatricians, regarding the pathogenesis margins of this virus, as late presentations are of great importance.

UI MeSH Term Description Entries
D008297 Male Males
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000086382 COVID-19 A viral disorder generally characterized by high FEVER; COUGH; DYSPNEA; CHILLS; PERSISTENT TREMOR; MUSCLE PAIN; HEADACHE; SORE THROAT; a new loss of taste and/or smell (see AGEUSIA and ANOSMIA) and other symptoms of a VIRAL PNEUMONIA. In severe cases, a myriad of coagulopathy associated symptoms often correlating with COVID-19 severity is seen (e.g., BLOOD COAGULATION; THROMBOSIS; ACUTE RESPIRATORY DISTRESS SYNDROME; SEIZURES; HEART ATTACK; STROKE; multiple CEREBRAL INFARCTIONS; KIDNEY FAILURE; catastrophic ANTIPHOSPHOLIPID ANTIBODY SYNDROME and/or DISSEMINATED INTRAVASCULAR COAGULATION). In younger patients, rare inflammatory syndromes are sometimes associated with COVID-19 (e.g., atypical KAWASAKI SYNDROME; TOXIC SHOCK SYNDROME; pediatric multisystem inflammatory disease; and CYTOKINE STORM SYNDROME). A coronavirus, SARS-CoV-2, in the genus BETACORONAVIRUS is the causative agent. 2019 Novel Coronavirus Disease,2019 Novel Coronavirus Infection,2019-nCoV Disease,2019-nCoV Infection,COVID-19 Pandemic,COVID-19 Pandemics,COVID-19 Virus Disease,COVID-19 Virus Infection,Coronavirus Disease 2019,Coronavirus Disease-19,SARS Coronavirus 2 Infection,SARS-CoV-2 Infection,Severe Acute Respiratory Syndrome Coronavirus 2 Infection,COVID19,2019 nCoV Disease,2019 nCoV Infection,2019-nCoV Diseases,2019-nCoV Infections,COVID 19,COVID 19 Pandemic,COVID 19 Virus Disease,COVID 19 Virus Infection,COVID-19 Virus Diseases,COVID-19 Virus Infections,Coronavirus Disease 19,Disease 2019, Coronavirus,Disease, 2019-nCoV,Disease, COVID-19 Virus,Infection, 2019-nCoV,Infection, COVID-19 Virus,Infection, SARS-CoV-2,Pandemic, COVID-19,SARS CoV 2 Infection,SARS-CoV-2 Infections,Virus Disease, COVID-19,Virus Infection, COVID-19
D016918 Arthritis, Reactive An aseptic, inflammatory arthritis developing secondary to a primary extra-articular infection, most typically of the GASTROINTESTINAL TRACT or UROGENITAL SYSTEM. The initiating trigger pathogens are usually SHIGELLA; SALMONELLA; YERSINIA; CAMPYLOBACTER; or CHLAMYDIA TRACHOMATIS. Reactive arthritis is strongly associated with HLA-B27 ANTIGEN. Arthritis, Postinfectious,Arthritis, Post-Infectious,Post-Infectious Arthritis,Postinfectious Arthritis,Reactive Arthritis,Reiter Disease,Reiter Syndrome,Reiter's Disease,Reiter's Syndrome,Arthritis, Post Infectious,Post Infectious Arthritis,Post-Infectious Arthritides,Postinfectious Arthritides,Reactive Arthritides,Reiters Disease,Reiters Syndrome

Related Publications

Reza Sinaei, and Sara Pezeshki, and Saeedeh Parvaresh, and Roya Sinaei, and Reza Shiari, and Mehrnoush Hassas Yeganeh, and Nasrin Bazargn, and Nava Gharaei
September 2021, Cureus,
Reza Sinaei, and Sara Pezeshki, and Saeedeh Parvaresh, and Roya Sinaei, and Reza Shiari, and Mehrnoush Hassas Yeganeh, and Nasrin Bazargn, and Nava Gharaei
January 2021, Rheumatology advances in practice,
Reza Sinaei, and Sara Pezeshki, and Saeedeh Parvaresh, and Roya Sinaei, and Reza Shiari, and Mehrnoush Hassas Yeganeh, and Nasrin Bazargn, and Nava Gharaei
September 2022, RMD open,
Reza Sinaei, and Sara Pezeshki, and Saeedeh Parvaresh, and Roya Sinaei, and Reza Shiari, and Mehrnoush Hassas Yeganeh, and Nasrin Bazargn, and Nava Gharaei
December 2023, Modern rheumatology case reports,
Reza Sinaei, and Sara Pezeshki, and Saeedeh Parvaresh, and Roya Sinaei, and Reza Shiari, and Mehrnoush Hassas Yeganeh, and Nasrin Bazargn, and Nava Gharaei
May 2023, Clinical case reports,
Reza Sinaei, and Sara Pezeshki, and Saeedeh Parvaresh, and Roya Sinaei, and Reza Shiari, and Mehrnoush Hassas Yeganeh, and Nasrin Bazargn, and Nava Gharaei
June 2023, Infection,
Reza Sinaei, and Sara Pezeshki, and Saeedeh Parvaresh, and Roya Sinaei, and Reza Shiari, and Mehrnoush Hassas Yeganeh, and Nasrin Bazargn, and Nava Gharaei
January 2023, Fatigue : biomedicine, health & behavior,
Reza Sinaei, and Sara Pezeshki, and Saeedeh Parvaresh, and Roya Sinaei, and Reza Shiari, and Mehrnoush Hassas Yeganeh, and Nasrin Bazargn, and Nava Gharaei
January 2021, Rheumatology (Oxford, England),
Reza Sinaei, and Sara Pezeshki, and Saeedeh Parvaresh, and Roya Sinaei, and Reza Shiari, and Mehrnoush Hassas Yeganeh, and Nasrin Bazargn, and Nava Gharaei
May 2021, Clinical practice and cases in emergency medicine,
Reza Sinaei, and Sara Pezeshki, and Saeedeh Parvaresh, and Roya Sinaei, and Reza Shiari, and Mehrnoush Hassas Yeganeh, and Nasrin Bazargn, and Nava Gharaei
November 2020, The Pediatric infectious disease journal,
Copied contents to your clipboard!