Alalem Nora, Yousaf Naveed
Family Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
Cureus. 2023 Feb 27;15(2):e35544. doi: 10.7759/cureus.35544. eCollection 2023 Feb.
In early 2021, multiple vaccinations for the coronavirus disease 2019 (COVID-19) in various immunological formulations were administered successfully to humans worldwide. Although numerous encountered side effects were expected, there were some effects that were unexpected. We report a case of a patient who experienced a rare occurrence of reactive arthritis in the right knee joint that manifested insidiously as pain, heat, and swelling on the second day following vaccination with the Oxford-AstraZeneca COVID-19 vaccine. The patient underwent a series of investigations, confirming the suspected diagnosis and ruling out other possible diseases. The case was refractory to oral non-steroidal anti-inflammatory drugs. Thus, the treatment was shifted to intra-articular steroids. Although the treatment plan improved the symptoms of the patient noticeably, it did not resolve them. A rare possible side effect following COVID-19 vaccination is reactive arthritis, which often occurs in young and healthy individuals with no significant comorbidities.
2021年初,多种免疫制剂的2019冠状病毒病(COVID-19)疫苗在全球范围内成功接种于人类。尽管预计会出现许多常见的副作用,但仍有一些副作用是出乎意料的。我们报告了一例患者,在接种牛津-阿斯利康COVID-19疫苗后的第二天,右膝关节隐匿性地出现疼痛、发热和肿胀,罕见地发生了反应性关节炎。患者接受了一系列检查,证实了疑似诊断并排除了其他可能的疾病。该病例对口服非甾体抗炎药无效。因此,治疗改为关节内注射类固醇。尽管治疗方案显著改善了患者的症状,但并未完全解决。COVID-19疫苗接种后一种罕见的可能副作用是反应性关节炎,它常发生在没有明显合并症的年轻健康个体中。