Department of Surgery, Division of Trauma Acute Care Surgery, and Surgical Critical Care, Reading Hospital, 419713Tower Health.
Department of Emergency Medicine, Reading Hospital, 419713Tower Health.
Am Surg. 2022 Sep;88(9):2255-2257. doi: 10.1177/00031348221083951. Epub 2022 Jun 15.
Coronavirus disease 2019 (COVID-19) typically manifests with respiratory symptoms and can ultimately progress to severe multiorgan failure. Viral myositis, systemic capillary leak syndrome, and arteriovenous thrombosis are atypical manifestations of COVID-19. We present a case of a 33-year-old woman, fully vaccinated against COVID-19, who developed myositis and shock. She ultimately required bilateral lower extremity fasciotomies secondary to compartment syndrome, presumably from COVID-19 myositis. Although compartment syndrome from COVID-19 myositis has been reported for ocular, hand, and thigh compartment syndromes, this is the first case report showing bilateral lower extremity compartment syndrome secondary to COVID-19 myositis in a fully vaccinated individual. As we learn more about COVID-19 and its extrapulmonary effects, it is imperative to consider all working diagnoses when working up patients. Providers must be aware of extrapulmonary effects of COVID-19, particularly in individuals who might deviate from traditional symptoms.
新型冠状病毒病 2019（COVID-19）通常表现为呼吸道症状，并最终可能发展为严重的多器官衰竭。病毒性肌炎、全身性毛细血管渗漏综合征和动静脉血栓形成是 COVID-19 的非典型表现。我们报告了一例 33 岁女性的病例，她已完全接种 COVID-19 疫苗，但出现肌炎和休克。她最终因 COVID-19 肌炎导致的间隔综合征需要进行双侧下肢筋膜切开术。尽管 COVID-19 肌炎已报道过眼、手和大腿间隔综合征，但这是首例报告显示 COVID-19 肌炎导致完全接种疫苗的个体双侧下肢间隔综合征的病例。随着我们对 COVID-19 及其肺外效应的了解不断增加，在对患者进行检查时必须考虑所有可能的诊断。提供者必须意识到 COVID-19 的肺外效应，特别是在那些可能偏离传统症状的个体中。
