Paraspinal Myositis in Patients with COVID-19 Infection

Myalgia is a previously reported symptom in patients with COVID-19 infection; however, the presence of paraspinal myositis has not been previously reported. We report MR imaging findings of the spine obtained in a cohort of 9 patients with COVID-19 infection who presented to our hospital between Mar...

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Published inAmerican journal of neuroradiology : AJNR Vol. 41; no. 10; pp. 1949 - 1952
Main Authors Mehan, W A, Yoon, B C, Lang, M, Li, M D, Rincon, S, Buch, K
Format Journal Article
LanguageEnglish
Published United States American Society of Neuroradiology 01.10.2020
Subjects
Adult
Aged
Aged, 80 and over
Betacoronavirus
Coronavirus Infections - complications
COVID-19
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Myositis - diagnostic imaging
Myositis - etiology
Pandemics
Pneumonia, Viral - complications
SARS-CoV-2
Spine
Spine - diagnostic imaging
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Summary:Myalgia is a previously reported symptom in patients with COVID-19 infection; however, the presence of paraspinal myositis has not been previously reported. We report MR imaging findings of the spine obtained in a cohort of 9 patients with COVID-19 infection who presented to our hospital between March 3, 2020 and May 6, 2020. We found that 7 of 9 COVID-19 patients (78%) who underwent MR imaging of the spine had MR imaging evidence of paraspinal myositis, characterized by intramuscular edema and/or enhancement. Five of these 7 patients had a prolonged hospital course (greater than 25 days). Our knowledge of the imaging manifestations of COVID-19 infection is expanding. It is important for clinicians>a to be aware of the relatively high frequency of paraspinal myositis in this small cohort of patients with COVID-19 infection.
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ISSN:0195-6108
1936-959X
DOI:10.3174/ajnr.A6711