{"id":1852,"date":"2021-11-24T11:48:27","date_gmt":"2021-11-24T17:48:27","guid":{"rendered":"https:\/\/www.drestebancastro.com\/blog\/?p=1852"},"modified":"2026-07-05T06:59:54","modified_gmt":"2026-07-05T12:59:54","slug":"afeccion-muscular-y-articular-en-pacientes-post-covid-19","status":"publish","type":"post","link":"https:\/\/www.drestebancastro.com\/blog\/afeccion-muscular-y-articular-en-pacientes-post-covid-19\/","title":{"rendered":"Afecci\u00f3n muscular y articular en pacientes post COVID-19"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Afecci\u00f3n muscular y articular en pacientes post COVID-19<\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>Table of Contents<\/h2><nav><ul><li><a href=\"#introduccion\">INTRODUCCI\u00d3N<\/a><\/li><li><a href=\"#objetivo\">OBJETIVO<\/a><\/li><li><a href=\"#material-y-metodo\">MATERIAL Y M\u00c9TODO<\/a><\/li><li><a href=\"#resultados\">RESULTADOS <\/a><\/li><li><a href=\"#discusion\">DISCUSI\u00d3N <\/a><\/li><li><a href=\"#bibliografia\">Bibliograf\u00eda:<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"introduccion\"><strong>INTRODUCCI\u00d3N<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">El SARS-Cov-2 es una enfermedad pand\u00e9mica emergente que causa el s\u00edndrome respiratorio agudo severo. Aunque la mayor\u00eda de los pacientes que se infectan con SARS-CoV-2 son asintom\u00e1ticos o tienen s\u00edntomas leves, algunos pacientes desarrollan s\u00edntomas graves que pueden restar valor permanente a su calidad de vida.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"objetivo\"><strong>OBJETIVO<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Resumir las patolog\u00edas musculoesquel\u00e9ticas conocidas en pacientes con COVID-19 para predecir los objetivos y las consecuencias a largo plazo de la infecci\u00f3n por SARS-CoV-2.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"material-y-metodo\"><strong>MATERIAL Y M\u00c9TODO<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Tipo de estudio descriptivo, en donde analizamos pacientes con afecci\u00f3n muscular y articular posterior a infectarse por COVID 19.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">post COVID-19<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"resultados\"><strong>RESULTADOS <\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">El SARS-CoV-2 est\u00e1 estrechamente relacionado con el SARS-CoV-1, que causa el s\u00edndrome respiratorio agudo severo (SARS). Ambos virus infectan el sistema respiratorio con efectos directos e indirectos en m\u00faltiples sistemas y \u00f3rganos, incluido el sistema musculoesquel\u00e9tico. Datos epidemiol\u00f3gicos de la pandemia identificaron mialgias, disfunci\u00f3n muscular, osteoporosis y osteonecrosis como secuelas comunes en pacientes con formas moderadas y graves de esta enfermedad. Los primeros estudios han indicado que tambi\u00e9n hay una disfunci\u00f3n musculoesquel\u00e9tica considerable en algunos pacientes con COVID-19, aunque a\u00fan no se han realizado estudios de seguimiento a largo plazo.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter\"><a href=\"https:\/\/www.drestebancastro.com\/blog\/afeccion-muscular-y-articular-en-pacientes-post-covid-19\/afeccion-muscular-y-articular-en-pacientes-post-covid-19-02-1\/\" rel=\"attachment wp-att-1904\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"350\" src=\"https:\/\/www.drestebancastro.com\/blog\/wp-content\/uploads\/Afeccion-muscular-y-articular-en-pacientes-post-COVID-19-02-1.jpg\" alt=\"post COVID-19\" class=\"wp-image-1904\" title=\"\"><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"discusion\"><strong>DISCUSI\u00d3N <\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Tanto la desmielinizaci\u00f3n en pacientes con SARS COV2 contribuye a debilidad muscular y fatiga, como la liberaci\u00f3n de c\u00e9lulas pro inflamatorias para los cambios patol\u00f3gicos musculo esquel\u00e9ticos, la combinaci\u00f3n de hipercoagulabilidad, agregaci\u00f3n de leucocitos e inflamaci\u00f3n de los vasos puede afectar el flujo sangu\u00edneo microvascular \u00f3seo y contribuir al desarrollo de osteonecrosis. Durante la infecci\u00f3n por SARS-CoV-2 afecta predominantemente a los neumocitos de tipo II que recubren el epitelio respiratorio, que expresan ACE2 y TMPRSS217. Mismos que se encuentran en c\u00e9lulas de m\u00fasculo liso, pericitos y c\u00e9lulas madre de m\u00fasculo. Es por ello la importancia de identificar las afecciones que \u00e9sta enfermedad causa para finalmente brindarle el mejor tratamiento ortop\u00e9dico.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">post COVID-19<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"bibliografia\"><strong>Bibliograf\u00eda<\/strong>:<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">1.- Nathaniel P Disser (2020). <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32675661\/\" target=\"_blank\" rel=\"noopener\">Musculoskeletal Consequences of COVID-19<\/a>.2020. Jul, de Pubmed<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2.- Muhammad Shariq Mukarram (2021). <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33986966\/\" target=\"_blank\" rel=\"noopener\">COVID19: An Emerging Culprit of Inflammatory Arthritic<\/a>. 2021. Apr 26, de PubMed<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">3.- Veyseh M, Koyoda S, Ayesha B. BMJ Case Rep 2021;14:e239457.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33849864\/\" target=\"_blank\" rel=\"noopener\">COVID-19 IgG-related autoimmune inflammatory necrotizing myositis<\/a> doi:10.1136\/bcr-2020- 239457<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100 has-custom-font-size is-style-fill has-medium-font-size\"><a class=\"wp-block-button__link has-white-color has-text-color has-background\" href=\"https:\/\/www.doctoralia.com.mx\/esteban-castro-contreras-2\/ortopedista-traumatologo\/tlajomulco-de-zuniga?utm_source=widget-doctor-63351&amp;utm_medium=certificate&amp;utm_campaign=&amp;utm_content=#highlight-calendar\" style=\"background-color:#00c3a5\" target=\"_blank\" rel=\"noreferrer noopener\"> Agenda una cita <\/a><\/div>\n\n\n\n<div class=\"wp-block-button 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