Background SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) infection is associated with various complications. PMA (primary meningococcal arthritis) is a rare meningococcus-associated disease causing arthritis of the knee usually, without any signs of invasive meningococcal disease. No case of PMA in a COVID-19 (coronavirus disease, 2019) patient has yet been described. PMA mainly strikes young adults. PMA is not associated with any immunocompromising condition. It has a better outcome than usual septic arthritis Case presentation Herein, we report an 18-year-old man diagnosed with COVID-19, later admitted with persistent fever, right knee arthralgia and maculopapular rash. Due to family history, psoriasis and Henoch-Schönlein purpura were hypothesized and ruled out. Finally, synovial fluid culture confirmed Neisseria meningitidis serogroup B arthritis without any other symptoms of invasive meningococcal disease. Healing was achieved quickly with surgery and antibiotics. We concluded in a PMA . Conclusion We describe here the first primary meningococcal arthritis in a COVID-19 patient and we hope to shine a light on this rare but serious complication.
【저자키워드】 COVID-19, Arthritis, Neisseria meningitidis, 【초록키워드】 coronavirus disease, SARS-CoV-2, coronavirus, Infection, Antibiotics, Symptom, outcome, Adults, Culture, Fever, Patient, complications, disease, Rash, PMA, COVID-19 patient, Neisseria meningitidis, healing, acute respiratory syndrome, arthralgia, purpura, invasive, serious complication, immunocompromising condition, described, disease causing, diagnosed with COVID-19, synovial fluid, 【제목키워드】 Case report,