Primary meningococcal arthritis in a COVID-19 18-year-old man: a case report and review of the literature

Ducatez, Norman; Chancel, Marine; Douadi, Y.; Dayen, C.; Suguenot, R.; Lecuyer, E.; Brihaye, B.; Bentayeb, H.

doi:10.1186/s12879-021-06211-7

Cited by 9 publications

(6 citation statements)

References 10 publications

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“…A 28-year-old patient who had been discharged after a hospital admission due to COVID-19 was subsequently diagnosed with bilateral shoulder septic arthritis 80 . Primary meningococcal arthritis was also diagnosed, on the basis of a knee synovial fluid culture, in an 18-year-old man after full recovery from COVID-19 86 . Primary spinal epidural abscesses were diagnosed in a group of 6 patients with COVID-19; on admission, 3 were quadriparetic, 2 were paraparetic, and 1 was paraplegic 66 .…”

Section: Resultsmentioning

confidence: 99%

“…Twenty literature reviews were identified2, 12-30 . Of the remaining studies, 31 presented original research 31-61 , 6 were case series 62-67 , 24 were case reports 68-91 , 1 provided a specialist’s opinion 92 , 4 were editorials 93-96 , and 2 were letters to the editor 97,98 .…”

Section: Resultsmentioning

confidence: 99%

“…An increased risk of associated bacterial infections may be a complication of COVID-19. Reported cases of musculoskeletal infection in patients with a previous history of infection with SARS-CoV-2 often did not appear to have another etiology that could explain the orthopaedic infection 66,80,86 . Considering that the SARS-CoV-2 virus can infect virtually any cell in the human body, affect multiple systems, and cause an uncontrolled immune response, it is possible that COVID-19 may cause a period of immunosuppression during which patients are more prone to becoming infected by other microorganisms.…”

Section: Discussionmentioning

confidence: 99%

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What Do We Need to Know About Musculoskeletal Manifestations of COVID-19?

et al. 2022

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COVID-19 is a disease that is challenging science, health-care systems, and humanity. An astonishingly wide spectrum of manifestations of multiorgan damage, including musculoskeletal, can be associated with SARS-CoV-2. » In the acute phase of COVID-19, fatigue, myalgia, and arthralgia are the most common musculoskeletal symptoms.» Post-COVID-19 syndrome is a group of signs and symptoms that are present for .12 weeks. The associated musculoskeletal manifestations are fatigue, arthralgia, myalgia, new-onset back pain, muscle weakness, and poor physical performance.» Data on COVID-19 complications are growing due to large absolute numbers of cases and survivors in these 2 years of the pandemic. Additional musculoskeletal manifestations encountered are falls by the elderly, increased mortality after hip fracture, reduced bone mineral density and osteoporosis, acute sarcopenia, rhabdomyolysis, Guillain-Barr é syndrome, muscle denervation atrophy, fibromyalgia, rheumatological disease triggering, septic arthritis, adhesive capsulitis, myositis, critical illness myopathy, onset of latent muscular dystrophy, osteonecrosis, soft-tissue abscess, urticarial vasculitis with musculoskeletal manifestations, and necrotizing autoimmune myositis.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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What Do We Need to Know About Musculoskeletal Manifestations of COVID-19?

et al. 2022

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“…Only one case of septic arthritis induced by Neisseria meningitidis in a COVID-19 patient has recently been reported. 44 However, no one reported infectious arthritis in our surveyed patients.…”

Section: Discussionmentioning

confidence: 73%

Lifting the Mask on Musculoskeletal Manifestations of COVID-19: Results of an Interview-Based Study

Tharwat¹,

Shabana²,

Nassar³

2022

OARRR

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Background Coronavirus disease of 2019 (COVID-19) is considered a multi-system disease that might present with or develop complications during the acute phase of illness. The aim of this study was to describe the characteristics of musculoskeletal (MSK) manifestations in patients with COVID-19 infection and investigate their clinical correlations. Methods This study was carried out on 110 patients with a history of RT-PCR confirmed COVID-19 infection. They completed a questionnaire that covered detailed information on their sociodemographic characteristics, clinical data of COVID-19 infection in addition to MSK discomfort form based on the Nordic MSK Questionnaire. Results The mean age of the patients was 37.7 years (SD 12.9), 72.7% were females. The majority of patients (90.9%) reported MSK symptoms that occur during or shortly after the acute attack of COVID-19 infection. The median duration of onset of MSK symptoms was 2 days from the first day of COVID-19 infection (min-max: 0–45 days) with a median duration of MSK symptoms of 7 days. Myalgia was the main complaint (85.5%) followed by arthralgia 90 (81.8%). However, swollen joints were reported in only 9 patients (8.2%). According to the body areas, maximum number of patients felt pain at the lower back (60%), followed by neck (39.1%), and upper back (32.5%) followed by right and left shoulder (20.9%). Patients with MSK manifestations were associated higher severity of COVID-19 infection (p < 0.001), prolonged duration of COVID-19 symptoms (p < 0.001) and higher prevalence of fatigue (p < 0.001). Conclusion MSK manifestations are common in COVID-19 patients and related to disease severity, duration and fatigue.

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“…There is a case report on primary meningococcal arthritis of the knee in a patient who recovered from COVID-19 [7] but septic arthritis of the native hip has not been reported after COVID-19 in the literature.…”

Section: Introductionmentioning

confidence: 99%

Primary septic arthritis of the hip after COVID-19- A case series of six patients

Dhanasekararaja

Soundarrajan

Sandeep

et al. 2023

Preprint

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Background We aim to report the consecutive patients with primary septic arthritis of the hip associated with COVID-19 and elucidate its unique clinical and radiological features. Methods Six consecutive patients (7 hips) who recovered from COVID-19 and presented with acute hip pain from November 2020 to October 2021 were included. All the patients received corticosteroids as a supportive treatment during COVID-19. Patients were diagnosed with septic arthritis of the hip based on radiographs, MRI, inflammatory markers and hip aspiration culture and synovial fluid analysis. Harris hip score was used to evaluate the functional outcome before and after treatment. Results The mean age was 44.3 years (range, 31 to 54 years). The average cumulative dose of methylprednisolone equivalent was 1328.2 mg (range, 460 to 2500 mg) and the average duration of steroid intake was 3.3 weeks. Two were culture positive and the rest four patients had a culture-negative infection. There was a significant improvement in Harris hip score from 12.5 ± 7.1 at presentation to 72.3 ± 13.6 after treatment (p < 0.05). There was a marked reduction in inflammatory parameters compared to the presenting values after treatment. Four patients (5 hips) underwent debridement and antibiotic-loaded cement spacer application in the first stage and uncemented total hip arthroplasty in the second stage. Other two patients who were treated conservatively had post septic arthritis of the hip and awaiting total hip arthroplasty. Conclusion In patients presenting with acute hip pain after COVID-19 infection, primary septic arthritis should be one of the differential diagnosis. They have features like elevated serological markers and extensive periarticular bone and soft tissue edema. Preoperative hip aspiration is mandatory for diagnosis and the patient may require a two-stage procedure for eradication of infection.

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Primary meningococcal arthritis in a COVID-19 18-year-old man: a case report and review of the literature

Cited by 9 publications

References 10 publications

What Do We Need to Know About Musculoskeletal Manifestations of COVID-19?

What Do We Need to Know About Musculoskeletal Manifestations of COVID-19?

Lifting the Mask on Musculoskeletal Manifestations of COVID-19: Results of an Interview-Based Study

Primary septic arthritis of the hip after COVID-19- A case series of six patients

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