Transient synovitis of hip joint following COVID-19 infection in a child with Hodgkins lymphoma

Authors

  • Sanjana Vishwanathan Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  • Rishab Bhurat Department of Pediatrics Hematology and Oncology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  • Litha Francis Department of Pediatrics, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  • Arunan Murali Department of Radiology and Imaging Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  • Mahesh Janarthanan Department of Clinical Immunology and Rheumatology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  • Dhaarani Jayaraman Department of Pediatrics Hematology and Oncology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20241691

Keywords:

Musculoskeletal manifestations, COVID-19, Transient synovitis, Hodgkin lymphoma

Abstract

Transient synovitis is a common cause of hip pain in children. COVID-19 pandemic affected pediatric cancer patients more often that general pediatric population. COVID-19 has been associated with various musculoskeletal symptoms including synovitis. Radiological assessment of these symptoms can contribute significantly in management of such patients. We report a case of transient synovitis of hip joint following COVID-19 infection in a 10-year-old boy with Hodgkins’s lymphoma. He presented with fever and myalgia, found to be positive for COVID-19, managed conservatively. Two weeks later presented with right hip pain and limping. He was found to have restricted joint mobility and hip tenderness. Magnetic resonance imaging (MRI) pelvis was done which showed minimal right hip effusion and synovial thickening and enhancement. He was managed conservatively and recovered completely.

References

Eich GF, Superti-Furga A, Umbricht FS, Willi UV. The painful hip: evaluation of criteria for clinical decision-making. Eur J Pediatr. 1999;158(11):923-8.

Nakra NA, Blumberg DA, Herrera-Guerra A, Lakshminrusimha S. Multi-system inflammatory syndrome in children (MIS-C) following SARS-CoV-2 infection: review of clinical presentation, hypothetical pathogenesis, and proposed management. Children. 2020;7(7):69.

Wendling D, Verhoeven F, Chouk M. Can SARSCov-2 trigger reactive arthritis? Joint Bone Spine. 2021;88:105086.

Nicastro E, Verdoni L, Bettini LR, Zuin G, Balduzzi A, Montini G, et al. COVID-19 in Immunosuppressed Children. Front Pediatr. 2021;9:629240.

Hart JJ. Transient synovitis of the hip in children. Am Fam Physician. 1996;54(5):1587-91.

Giraudo C, Fichera G, Pilati L, Cortinovis AL, Cavallin C, Bertin S, et al. COVID-19 musculoskeletal involvement in children. Front Pediatr. 2023;11:1200877.

Dutta S, Dey S, Poddar A. Post-COVID Reactive Arthritis. Indian J Pediatr. 2022;89:103.

Garrido-Hidalgo A, Martínez GÁ. Probable transient hip synovitis due to COVID-19. Rev Mex Ortop Ped. 2021;23:36-9.

Swarnakar R, Jenifa S, Wadhwa S. Musculoskeletal complications in long COVID-19: A systematic review. World J Virol. 2022;11(6):485-95.

Bakılan F, Gökmen İG, Ortanca B, Uçan A, Eker Güvenç Ş, Şahin Mutlu F, et al. Musculoskeletal symptoms and related factors in postacute COVID-19 patients. Int J Clin Pract. 2021;75(11):e14734.

Schett G, Manger B, Simon D, Caporali R. COVID-19 revisiting inflammatory pathways of arthritis. Nat Rev Rheumatol. 2020;16(8):465-70.

Omar IM, Weaver JS, Samet JD, Serhal AM, Mar WA, Taljanovic MS. Musculoskeletal manifestations of COVID-19: currently described clinical symptoms and multimodality imaging findings. Radiographics. 2022;42:1415-32.

Downloads

Published

2024-06-26

Issue

Section

Case Reports