{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T08:19:33Z","timestamp":1793953173585,"version":"4.8.0"},"reference-count":11,"publisher":"Scientific Scholar","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Avascular necrosis (AVN) of the femoral head is a condition characterized by limited mobility, discomfort, and changes in walking patterns due to insufficient blood supply in this region. Our objective is to investigate the possible connection between COVID-19 and AVN. In this study, we detail the case of a 41-year-old male patient who developed AVN in both femoral heads after contracting COVID-19. The mere occurrence of a COVID-19 infection and the use of corticosteroids for its treatment may increase the probability of AVN in the femoral head. Hence, post the COVID-19 pandemic, it is crucial to consider AVN vigilantly for timely detection and treatment.<\/jats:p>","DOI":"10.4103\/ijnm.ijnm_19_24","type":"journal-article","created":{"date-parts":[[2024,8,17]],"date-time":"2024-08-17T12:00:09Z","timestamp":1723896009000},"page":"207-209","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Long-term Side Effect of COVID-19 Infection; Osteonecrosis of the Femoral Head in SPECT\/CT Bone Scintigraphy"],"prefix":"10.25259","volume":"39","author":[{"given":"Mahdi","family":"Haghighatafshar","sequence":"first","affiliation":[{"name":"Department of Nuclear Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2024,8,17]]},"reference":[{"key":"R1-20240902","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.2217\/fmb-2020-0110","article-title":"Pathogenesis, clinical manifestations and complications of coronavirus disease 2019 (COVID-19)","volume":"15","author":"Kordzadeh-Kermani","year":"2020","journal-title":"Future Microbiol"},{"key":"R2-20240902","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.ejrad.2007.03.019","article-title":"Osteonecrosis of the femoral head:Etiology, imaging and treatment","volume":"63","author":"Malizos","year":"2007","journal-title":"Eur J Radiol"},{"key":"R3-20240902","doi-asserted-by":"crossref","first-page":"455","DOI":"10.5435\/JAAOS-22-07-455","article-title":"Osteonecrosis of the femoral head:Evaluation and treatment","volume":"22","author":"Zalavras","year":"2014","journal-title":"J Am Acad Orthop Surg"},{"key":"R4-20240902","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1053\/sarh.2002.33724b","article-title":"Pathogenesis and natural history of osteonecrosis","volume":"32","author":"Assouline-Dayan","year":"2002","journal-title":"Semin Arthritis Rheum"},{"key":"R5-20240902","doi-asserted-by":"crossref","first-page":"174579","DOI":"10.1016\/j.ejphar.2021.174579","article-title":"Use of steroids in COVID-19 patients:A meta-analysis","volume":"914","author":"Thakur","year":"2022","journal-title":"Eur J Pharmacol"},{"key":"R6-20240902","doi-asserted-by":"crossref","first-page":"e242101","DOI":"10.1136\/bcr-2021-242101","article-title":"Avascular necrosis as a part of 'long COVID-19'","volume":"14","author":"Agarwala","year":"2021","journal-title":"BMJ Case Rep"},{"key":"R7-20240902","doi-asserted-by":"crossref","first-page":"77","DOI":"10.3109\/02770909909065152","article-title":"The pathogenesis of osteonecrosis and the relationships to corticosteroids","volume":"36","author":"Mirzai","year":"1999","journal-title":"J Asthma"},{"key":"R8-20240902","first-page":"1","article-title":"Osteonecrosis development post COVID-19 infection","volume":"3","author":"Daltro","year":"2021","journal-title":"J Regen Biol Med"},{"key":"R9-20240902","first-page":"235","article-title":"Bilateral avascular necrosis of the femoral head after COVID-19 infection:A case report","volume":"6","author":"Uysal","year":"2022","journal-title":"Med J West Black Sea"},{"key":"R10-20240902","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.2106\/JBJS.20.00847","article-title":"Musculoskeletal consequences of COVID-19","volume":"102","author":"Disser","year":"2020","journal-title":"J Bone Joint Surg Am"},{"key":"R11-20240902","doi-asserted-by":"crossref","first-page":"116227","DOI":"10.1016\/j.bone.2021.116227","article-title":"Osteoclast-mediated bone loss observed in a COVID-19 mouse model","volume":"154","author":"Awosanya","year":"2022","journal-title":"Bone"}],"container-title":["Indian Journal of Nuclear Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ijnm.ijnm_19_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T07:38:11Z","timestamp":1779694691000},"score":1,"resource":{"primary":{"URL":"https:\/\/ijnm.co.in\/long-term-side-effect-of-covid-19-infection-osteonecrosis-of-the-femoral-head-in-spect-ct-bone-scintigraphy\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ijnm.ijnm_19_24","relation":{},"ISSN":["0972-3919","0974-0244"],"issn-type":[{"value":"0972-3919","type":"print"},{"value":"0974-0244","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5]]},"assertion":[{"value":"2024-02-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-12","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}