smjournalСпортивная медицина: наука и практикаSports medicine: research and practice2223-25242587-9014NEICON10.47529/2223-2524.2022.2.3smjournal-410Research ArticleВРАЧЕБНЫЙ КОНТРОЛЬMEDICAL CONTROLАваскулярный остеонекроз у молодой пациентки, перенесшей новую коронавирусную инфекциюAvascular osteonecrosis in a young patient with a novel coronavirus infectionhttps://orcid.org/0000-0002-6125-590XКирсановаТ. В.KirsanovaT. V.

Кирсанова Татьяна Валерьевна, кандидат медицинских наук, ведущий научный сотрудник Института анестезиологии реаниматологии и трансфузиологии 

117997, Москва, улица Академика Опарина, 4

Tatiana V. Kirsanova, M.D., Ph.D., Leading Researcher of Institute of anestesiology‑resuscitation and transfusiology

4 Ac. Oparina str., Moscow, 117997

A_Tatya@mail.ruhttps://orcid.org/0000-0002-5187-0108МешковА. Д.MeshkovA. D.

Мешков Алексей Дмитриевич, кандидат медицинских наук, старший научный сотрудник лаборатории заболеваний костно‑мышечной системы Российского геронтологического научно‑клинического центра

129226, Москва, ул. 1‑я Леонова, 16

Alexey D. Meshkov, M.D., Ph.D., Senior Researcher of the Laboratory of diseases of the musculoskeletal system, Russian Gerontology Research and Clinical Centre

16 1‑st Leonova str., Moscow, 129226

alexeymeshkov@mail.ruhttps://orcid.org/0000-0002-2196-1068МаневичТ. М.ManevichT. M.

Маневич Татьяна Михайловна, кандидат медицинских наук, заведующая отделением гериатрической неврологии Российского геронтологического научного центра

129226, Москва, ул. 1‑ая Леонова, 16

Tatiana M. Manevich, M.D., Ph.D., neurologist, Head of Neurological geriatric department of Russian Gerontology Research and Clinical Center

16 1‑st Leonova str., Moscow, 129226

manevich_tm@rgnkc.ruЛысенкоМ. А.LysenkoM. А.

Лысенко Марина Анатольевна, кандидат медицинских наук, заведующая медицинским реабилитационным отделением для взрослых с соматическими заболеваниями 

400138, Волгоград, ул. им. Землячки, 78

Marina А. Lysenko, M.D., Ph.D., Head of Rehabilitation department for adults with somatic deceases

78 Zemlyachki str., Volgograd, 400138

lysenko-ma@vokod34.ruФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В.И. Кулакова Минздрава РоссииРоссияNational Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. KulakovRussian FederationФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияPirogov Russian National Research Medical UniversityRussian FederationГБУЗ «Волгоградский областной клинический онкологический диспансер»РоссияVolgograd Regional Oncological DispensaryRussian Federation2022311020221223239Copyright © Кирсанова Т.В., Мешков А.Д., Маневич Т.М., Лысенко М.А., 20222022Кирсанова Т.В., Мешков А.Д., Маневич Т.М., Лысенко М.А.Kirsanova T.V., Meshkov A.D., Manevich T.M., Lysenko M.А.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.smjournal.ru/jour/article/view/410

Новая коронавирусная инфекция COVID‑19 продолжает демонстрировать возможные осложнения уже после выздоровления. Одним из таких осложнений является аваскулярный остеонекроз, который может привести к разрушению кости и инвалидизации пациента. Случаи развития остеонекроза, ассоциированного с коронавирусной инфекцией, были зарегистрированы во время и после эпидемии атипичной пневмонии в 2003 году. По‑видимому, они также характерны для инфекции COVID‑19. Следует иметь в виду, что угроза развития остеонекроза сохраняется у всех пациентов, вылечившихся от инфекции COVID‑19, особенно у тех, кто получал терапию глюкокортикоидами.

Мы описываем случай развития некроза кости у соматически здоровой молодой женщины без дополнительных факторов риска с нетяжелым течением COVID, которая получала коротким курсом глюкокортикоиды.

Это первый описанный случай COVID‑индуцированного остеонекроза в нашей стране, хотя ввиду широкомасштабного использования глюкокортикоидов таких случаев наверняка больше. Ранняя диагностика важна для предотвращения прогрессирования заболевания, в связи с чем необходима клиническая настороженность у всех пациентов с COVID‑19. Рекомендуется серьезно относиться к боли в костях и крупных суставах после перенесенной инфекции.

COVID‑19 continues demonstrating possible complications after recovery. One of these complications is avascular osteonecrosis, which can lead to bone destruction and patient disability. Cases of the development of osteonecrosis associated with coronavirus infection were widely reported during and after the SARS epidemic in 2003. They also appear to be common in COVID‑19 infection. All patients who have recovered from COVID‑19 infection, especially who received glucocorticoids, are threaten of osteonecrosis development.

We describe a case of bone necrosis in a healthy young woman without additional risk factors with a mild course of COVID, who received a short course of glucocorticoids.

This is the first described case of COVID‑induced osteonecrosis in our country, although due to the large‑scale use of glucocorticoids, there are probably more such cases. Early diagnosis is important to prevent disease progression. Therefore, clinical alertness is necessary in all patients with COVID‑19.

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The authors declare that there are no conflicts of interest present.