{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:58:43Z","timestamp":1756382323714,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,9]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>COVID-19 is a novel disease often presenting with a cough, fever or a change in smell or taste. Recently, it has been recognised that COVID-19 may result in multisystemic issues and thus cause atypical symptoms, which can cause diagnostic delay, uncertainty and inaccuracy. A 60-year-old woman presented to the hospital with a 2-day history of mid-thoracic discomfort, intermittent rigours, fevers and general malaise, a few weeks after likely COVID-19 infection. She was admitted and treated for community-acquired pneumonia. However, her symptoms recurred despite multiple courses of antibiotics, which prompted further workup. A combination of a pleural and pericardial effusion was identified, leading to a diagnosis of polyserositis, and a COVID-19 antibody test came back positive. Colchicine was effective at resolving her symptoms, leading to further conviction of a probable postviral polyserositis.<\/jats:p>","DOI":"10.1136\/bcr-2021-243880","type":"journal-article","created":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T12:58:19Z","timestamp":1632747499000},"page":"e243880","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Polyserositis secondary to COVID-19: the diagnostic dilemma"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9047-6883","authenticated-orcid":false,"given":"Emily","family":"Harris","sequence":"first","affiliation":[{"name":"Acute Medicine, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shilen","family":"Shanghavi","sequence":"additional","affiliation":[{"name":"Acute Medicine, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatyana","family":"Viner","sequence":"additional","affiliation":[{"name":"Acute Medicine, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,9,27]]},"reference":[{"key":"2025082704010318000_14.9.e243880.1","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1111\/imj.13966","article-title":"Polyserositis: a diagnostic challenge","volume":"48","author":"Losada","year":"2018","journal-title":"Intern Med J"},{"key":"2025082704010318000_14.9.e243880.2","article-title":"Polyserositis and acute acalculous cholecystitis: an uncommon manifestation of undiagnosed systemic lupus erythematosus","volume":"11","author":"Obreja","year":"2019","journal-title":"Cureus"},{"key":"2025082704010318000_14.9.e243880.3","doi-asserted-by":"crossref","DOI":"10.1097\/RHU.0000000000000968","article-title":"Rheumatoid arthritis presenting with polyserositis and fever","volume":"26","author":"Arasaratnam","year":"2020","journal-title":"J Clin Rheumatol"},{"key":"2025082704010318000_14.9.e243880.4","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1080\/13497413.2018.1481579","article-title":"Familial Mediterranean fever: overview of pathogenesis, clinical features and management","volume":"41","author":"Migita","year":"2018","journal-title":"Immunol Med"},{"key":"2025082704010318000_14.9.e243880.5","doi-asserted-by":"publisher","DOI":"10.1002\/dc.20133"},{"key":"2025082704010318000_14.9.e243880.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaut.2020.102506"},{"key":"2025082704010318000_14.9.e243880.7","doi-asserted-by":"crossref","unstructured":"Davies E , Hajela V . 19.\u2003Fever, dyspnoea and a raised CRP: just another chest sepsis? Rheumatol Adv Pract 2019;3.doi:10.1093\/rap\/rkz027.003","DOI":"10.1093\/rap\/rkz027.003"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-243880","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:01:09Z","timestamp":1756292469000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-243880"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":7,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9,27]]},"published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1136\/bcr-2021-243880"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-243880","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}