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Case Report
Isolated right peroneal mononeuropathy after silent SARS-CoV-2 infection in a child: Case report and review of the literature
1 Department of Pediatrics, University General Hospital of Alexandroupolis, Alexandroupolis, Thrace, Greece
Address correspondence to:
Elpis Mantadakis
MD, PhD, Professor of Pediatrics-Pediatric Hematology/Oncology, Democritus University of Thrace Faculty of Medicine, Head, Department of Pediatrics, University General Hospital of Alexandroupolis, 68 100 Alexandroupolis, Thrace,
Greece
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Article ID: 101379Z01MT2023
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Terzidou M, Sygkouna A, Thodis M, Cassimos D, Mantadakis E. Isolated right peroneal mononeuropathy after silent SARS-CoV-2 infection in a child: Case report and review of the literature. Int J Case Rep Images 2023;14(1):39–42.ABSTRACT
Introduction: Peroneal neuropathy is considered as the most common mononeuropathy of the lower extremities, albeit with limited medical documentation. Risk factors include local injuries or recurrent minor trauma, surgery, weight loss, habitual leg crossing, other prolonged postures, or application of inappropriately fitted orthopedic devices that lead to uninterrupted pressure at the fibular head, intoxication, bicycle riding, prolonged anesthesia, lengthy hospitalization, other underlying neuropathies, diabetes mellitus, exposure to cold and irradiation and infection by neurotropic viruses.
Case Report: We present a 4-year-old non-immunocompromised boy with an isolated right foot drop. At presentation, he had a characteristic walking that resulted from the inability to bend his right foot upward at the ankle. The foot drop developed gradually over the last week and was not accompanied by other symptoms. A careful history and appropriate serologic and imaging studies ruled out common causes of peroneal neuropathy except for SARS-CoV-2. Indeed, a high titer of specific IgG antibodies to this new coronavirus was detected, despite no history of prior immunization.
Conclusion: Peroneal neuropathy may represent one of the many neurological sequelae of infection with SARS-CoV-2; physicians should be aware of this.
Keywords: Children, COVID-19, Mononeuropathy, SARS-CoV-2
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Author Contributions
Maria Terzidou - Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Athina Sygkouna - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Marios Thodis - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Dimitrios Cassimos - Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Elpis Mantadakis - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Maria Terzidou et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
