Multisystem pathological changes associated with COVID-19 in a medical worker (case study)

Abstract

The novel coronavirus SARS-CoV-2 and the disease COVID-19 it causes can be considered an occupational disease in medical workers if the infection occurred while they were performing their job duties. Along with damage to the respiratory system, SARSCoV-2 can lead to hematologic disorders, disorders of the nervous system, and the de velopment of autoimmune and rheumatic diseases. The presented clinical case describes such possible serious multisystem pathological manifestations associated with the novel coronavirus infection as pulmonary fibrosis and polyneuropathy. Reinfection with SARSCoV-2 with subsequent hematologic disorders and complications of the osteoarticular system in the form of aseptic osteonecrosis of the femoral heads has been described. The principles and results of a medical examination carried out in order to establish the causal relationship between the disease and occupation of a medical worker are presented. The need for a multidisciplinary approach to the diagnosis of manifestations and treatment of COVID-19 and its complications with the mandatory participation of a neurologist and rheumatologist is emphasized.