Bilateral shoulder arthritis in COVID-19 patient after prolonged mechanical ventilation assist

Detalhes bibliográficos
Autor(a) principal: Neves, Teresa Resende
Data de Publicação: 2021
Outros Autores: Lourenço, Ana Luísa, Alves, Pedro, Teiga, Carlos, Caetano, António Proença
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/126476
Resumo: Prolonged immobilization and, in particular, mechanical ventilation, have been linked to muscle atrophy. Anecdotal reports in the literature describe rhabdomyolysis as a potential late complication of COVID-19 infection which, in severe cases, may coexist with fluid collections. We report a case of a 28-year-old patient that had been recently hospitalized with SARS-CoV-2 pneumonia, with need for invasive ventilation support. Days after being discharged, the patient presents with retrosternal thoracalgia irradiating to the left upper limb. On physical examination, abduction and external rotation were limited due to pain complaints and there was soft tissue swelling of the corresponding shoulder and arm. Imaging evaluation was essential to establish the underlying condition, revealing bilateral arthritis communicating with large rotator cuff collections, which was considered of septic nature.
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spelling Bilateral shoulder arthritis in COVID-19 patient after prolonged mechanical ventilation assista case reportarthritisCovid-19immobilizationmechanical ventilationmusculoskeletalSARS-CoV2Radiology Nuclear Medicine and imagingProlonged immobilization and, in particular, mechanical ventilation, have been linked to muscle atrophy. Anecdotal reports in the literature describe rhabdomyolysis as a potential late complication of COVID-19 infection which, in severe cases, may coexist with fluid collections. We report a case of a 28-year-old patient that had been recently hospitalized with SARS-CoV-2 pneumonia, with need for invasive ventilation support. Days after being discharged, the patient presents with retrosternal thoracalgia irradiating to the left upper limb. On physical examination, abduction and external rotation were limited due to pain complaints and there was soft tissue swelling of the corresponding shoulder and arm. Imaging evaluation was essential to establish the underlying condition, revealing bilateral arthritis communicating with large rotator cuff collections, which was considered of septic nature.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNNeves, Teresa ResendeLourenço, Ana LuísaAlves, PedroTeiga, CarlosCaetano, António Proença2021-10-22T03:42:59Z2021-102021-10-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article5application/pdfhttp://hdl.handle.net/10362/126476eng1930-0433PURE: 33953106https://doi.org/10.1016/j.radcr.2021.06.085info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-05-22T17:56:45Zoai:run.unl.pt:10362/126476Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-05-22T17:56:45Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Bilateral shoulder arthritis in COVID-19 patient after prolonged mechanical ventilation assist
a case report
title Bilateral shoulder arthritis in COVID-19 patient after prolonged mechanical ventilation assist
spellingShingle Bilateral shoulder arthritis in COVID-19 patient after prolonged mechanical ventilation assist
Neves, Teresa Resende
arthritis
Covid-19
immobilization
mechanical ventilation
musculoskeletal
SARS-CoV2
Radiology Nuclear Medicine and imaging
title_short Bilateral shoulder arthritis in COVID-19 patient after prolonged mechanical ventilation assist
title_full Bilateral shoulder arthritis in COVID-19 patient after prolonged mechanical ventilation assist
title_fullStr Bilateral shoulder arthritis in COVID-19 patient after prolonged mechanical ventilation assist
title_full_unstemmed Bilateral shoulder arthritis in COVID-19 patient after prolonged mechanical ventilation assist
title_sort Bilateral shoulder arthritis in COVID-19 patient after prolonged mechanical ventilation assist
author Neves, Teresa Resende
author_facet Neves, Teresa Resende
Lourenço, Ana Luísa
Alves, Pedro
Teiga, Carlos
Caetano, António Proença
author_role author
author2 Lourenço, Ana Luísa
Alves, Pedro
Teiga, Carlos
Caetano, António Proença
author2_role author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Neves, Teresa Resende
Lourenço, Ana Luísa
Alves, Pedro
Teiga, Carlos
Caetano, António Proença
dc.subject.por.fl_str_mv arthritis
Covid-19
immobilization
mechanical ventilation
musculoskeletal
SARS-CoV2
Radiology Nuclear Medicine and imaging
topic arthritis
Covid-19
immobilization
mechanical ventilation
musculoskeletal
SARS-CoV2
Radiology Nuclear Medicine and imaging
description Prolonged immobilization and, in particular, mechanical ventilation, have been linked to muscle atrophy. Anecdotal reports in the literature describe rhabdomyolysis as a potential late complication of COVID-19 infection which, in severe cases, may coexist with fluid collections. We report a case of a 28-year-old patient that had been recently hospitalized with SARS-CoV-2 pneumonia, with need for invasive ventilation support. Days after being discharged, the patient presents with retrosternal thoracalgia irradiating to the left upper limb. On physical examination, abduction and external rotation were limited due to pain complaints and there was soft tissue swelling of the corresponding shoulder and arm. Imaging evaluation was essential to establish the underlying condition, revealing bilateral arthritis communicating with large rotator cuff collections, which was considered of septic nature.
publishDate 2021
dc.date.none.fl_str_mv 2021-10-22T03:42:59Z
2021-10
2021-10-01T00:00:00Z
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url http://hdl.handle.net/10362/126476
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1930-0433
PURE: 33953106
https://doi.org/10.1016/j.radcr.2021.06.085
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eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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instacron:RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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