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Abstract：
Prolonged immobilization and, in particular, mechanical ventilation, have been linked to muscle atrophy. Anecdotal reports in the literature describe rhabdomyolysis as a potential late complication of COVID-19 infection which, in severe cases, may coexist with fluid collections. We report a case of a 28-year-old patient that had been recently hospitalized with SARS-CoV-2 pneumonia, with need for invasive ventilation support. Days after being discharged, the patient presents with retrosternal thoracalgia irradiating to the left upper limb. On physical examination, abduction and external rotation were limited due to pain complaints and there was soft tissue swelling of the corresponding shoulder and arm. Imaging evaluation was essential to establish the underlying condition, revealing bilateral arthritis communicating with large rotator cuff collections, which was considered of septic nature.
摘要：
长时间的固定和，特别是,机械通气,与肌肉萎缩有关.文献中的轶事报道将横纹肌溶解症描述为COVID-19感染的潜在晚期并发症，在严重的情况下，可能与流体集合共存。我们报告了一例28岁的病人，最近因SARS-CoV-2肺炎住院，需要有创通气支持。出院后几天，患者出现胸骨后胸痛，照射左上肢。在体检时，由于疼痛，外展和外旋受到限制，并且相应的肩膀和手臂有软组织肿胀。影像学评估对于确定潜在的病情至关重要，显示双侧关节炎与大型肩袖集合沟通，这被认为是败血症性质。
