Coronavirus Disease 19 (COVID-19) complicated with post-viral arthritis

摘要

Coronavirus disease 2019 (COVID-19) was reported in Europe in the beginning of February 2020. The human infection of this virus can present with typical symptoms that include fever, cough and dyspnea, and not much was known about the clinical evolution of the disease. Herein, we report a case of a late complication of COVID-19 infection in a 41-year-old female. The patient presented with a 7-day history of myalgia, low fever, rhinorrhea and loss of smell. COVID-19 was confirmed by real-time polymerase chain reaction (PCR) in nasal and oropharyngeal swabs. However, at 4 weeks after the beginning of the symptoms, the patient developed severe arthralgia of some interphalangeal joints of the hands, lasting for 4 weeks. Laboratory workup revealed no significant changes, and the symptoms resolved with a short course of oral steroids. Post-viral arthritis might be a late complication of COVID-19.