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Covidâ19ârelated right hip monoarthritis: A case report and literature review
Key Clinical Message This article presents the case of a young patient with severe acute left hip pain who tested positive for COVIDâ19. The diagnostic approach and management are presented, followed by a review of the literature. This 11âyearâold student was admitted for acute left hip pain of abrupt onset, inflammatory, evolving for 24âh in a febrile context with no change in general condition. The initial workup revealed a hyperleukocytosis in the blood count, CRP 198.52âmg/L, and a 95âmm SV. The pelvic Xâray was unremarkable, and the hip ultrasound showed synovial hypertrophy, with no effusion on Doppler examination. The situation worsened 24âh later with the onset of acute respiratory distress syndrome. The chest Xâray showed bilateral alveolar interstitial lung disease, and the CT scan showed hyperdensity and crazy paving. The COVIDâ19 RDT test on a nasopharyngeal sample came back positive, as did the RTâPCR. Death occurred a few hours later in acute respiratory distress. Our case is consistent with what has been reported in the literature, but requires further study on an international scale to better define the phenotype of the disease