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In a case report that will make you want a few more booster shots “just to be sure”, doctors described the rare case of a man who developed “restless anal syndrome” after falling ill with COVID -19.
The 77-year-old presented to Tokyo University Medical Hospital with fairly typical symptoms of COVID-19, including a cough and mild fever, after which he tested positive for the disease. For the next ten days, he was kept in hospital for monitoring and to treat the mild pneumonia he had developed, the doctors write in the journal BMC Infectious Diseases.
Despite the hospitalization, his case was classified as “mild” and he did not require oxygen. However, other details about her case were unusual, and perhaps unique, mainly in the area of her anus.
“Before affecting COVID-19, he had never experienced restlessness and anal discomfort,” the team wrote, ominously foreshadowing the anal restlessness to come. “However, several weeks after his release, he gradually began to experience a deep and restless anal discomfort, about 10 cm [4 inches] of the perineal region. “
You may not have heard of restless anal syndrome (as it may be unique in the medical literature), but it is, as you can imagine, the evil twin of restless leg syndrome. . With restless legs syndrome, you experience an overwhelming urge to move your legs and sometimes an “uncomfortable feeling of crawling or crawling in the feet, calves, and thighs.”
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The man had a constant urge to poop, which was not alleviated by the poo. As with restless legs syndrome, the discomfort deep in his anus improved when he exercised, although when at rest his symptoms worsened once again. His restless anus worsened at night, although he was able to sleep thanks to the use of sleeping pills. A colonoscopy revealed that there was nothing wrong with the man’s rectum other than internal hemorrhoids, which would not explain his unique symptoms. Eventually, they diagnosed him with what is essentially restless legs anus syndrome, given the similarity between the two conditions.
“Various other parts of the body besides the legs may be involved [in restless leg syndrome] arms, abdomen, face, head, oral cavity, bladder and [the] genital area, ”the team wrote in its report.
“Because he had never experienced anal restlessness and discomfort before affecting COVID-19 and the anal restlessness symptom developed after COVID-19, we considered these anal restlessness symptoms to be [related to] COVID-19[FEMININE”
L’équipe a cité de nombreux autres cas signalés de manifestations neuropsychiatriques chez des patients après la maladie, bien qu’en fin de compte, ils indiquent qu’ils ne peuvent pas prétendre à un lien de causalité sur la base d’un seul rapport de cas. Il est parfaitement possible que l’homme ait eu de la malchance, développant COVID-19 puis un cas tout à fait distinct de syndrome des jambes sans repos de l’anus quelques jours plus tard, via une cause sans rapport.
« Parce que les séquelles neuropsychiatriques nécessitent une observation longitudinale, les résultats à long terme des affections neuropsychiatriques doivent continuer à être surveillés. Le RLS ou la variante du RLS liés au COVID-19 peuvent être sous-diagnostiqués et nous devons prêter attention aux cas similaires afin de clarifier [the] relationship between COVID-19 and RLS. “
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