Abstract
BackgroundAlthough, 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.Case presentationDuring 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.ConclusionsThese 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.
Highlights
Preliminary reports of Severe Acute Respiratory Syndrome (SARS)-CoV-2 infection suggest that the infection causes a less severe illness in children, there is growing evidence of other rare or even serious complications of disease.Case presentation: During the recent COVID-19 pandemic in Kerman, Iran, two children were referred to outpatient Clinic of Pediatric Rheumatology with complaints of limping
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
Summary
Preliminary reports of Severe Acute Respiratory Syndrome (SARS)-CoV-2 infection suggest that the infection causes a less severe illness in children, there is growing evidence of other rare or even serious complications of disease.Case presentation: 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. We report two cases of gait disturbances following SARS-CoV-2 infection. Case-1 An 8-year-old previously healthy boy was referred to the pediatric rheumatology center of Kerman University, in Southeast of Iran, for left side lower extremity gait disturbance and limping.
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