Bilateral Lower Extremity Compartment Syndrome Secondary to COVID-19 Myositis in a Young Vaccinated Woman.

Authors

Kate M Brod, Department of Surgery, Division of Trauma Acute Care Surgery, and Surgical Critical Care, Reading Hospital-Tower Health, West Reading, PAFollow
Jordan Wohl, Department of Emergency Medicine, Reading Hospital-Tower Health, West Reading, PAFollow
Christopher A Butts, Department of Surgery, Division of Trauma Acute Care Surgery, and Surgical Critical Care, Reading Hospital-Tower Health, West Reading, PAFollow
Eugene F Reilly, Department of Surgery, Division of Trauma Acute Care Surgery, and Surgical Critical Care, Reading Hospital-Tower Health, West Reading, PAFollow

Document Type

Article

Publication Date

6-15-2022

Abstract

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.

Publication Title

The American surgeon

First Page

31348221083951

Last Page

31348221083951

Comments

Online ahead of print

Recommended Citation

Brod, K., Wohl, J., Butts, C., & Reilly, E. (2022). Bilateral Lower Extremity Compartment Syndrome Secondary to COVID-19 Myositis in a Young Vaccinated Woman.. The American surgeon, 31348221083951-31348221083951. https://doi.org/https://doi.org/10.1177%2F00031348221083951