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Takayasu Arteritis in a Middle-aged Woman Following Prolonged Subsequent Fever after COVID-19 Infection: An Early
Masayo Watanabe1, Takuya Tanimoto2, Mari Tanaka3
1Department of Respiratory Medicine, Hiroshima City Funairi Citizens Hospital, Japan.
Internal Medicine (Tokyo, Japan)
|January 14, 2026
Summary
A persistent cough after coronavirus disease 2019 (COVID-19) led to a Takayasu arteritis diagnosis. This rare post-COVID-19 complication highlights the need for vigilance in diagnosing vascular inflammation.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Rheumatology
Background:
- Coronavirus disease 2019 (COVID-19) can trigger various post-infectious complications.
- Takayasu arteritis is a rare inflammatory condition affecting large arteries, primarily the aorta.
Purpose of the Study:
- To report a rare case of Takayasu arteritis developing after COVID-19 infection.
- To highlight the diagnostic challenges and clinical presentation of this post-viral complication.
Main Methods:
- Case report of a 59-year-old woman presenting with persistent cough post-COVID-19.
- Initial workup included physical examination, blood tests, and non-contrast CT.
- Contrast-enhanced CT was crucial for diagnosing aortic wall thickening.
Main Results:
- The patient developed persistent dry cough, fever, and back pain following COVID-19 recovery.
- Initial investigations were inconclusive, delaying diagnosis.
- Contrast-enhanced CT revealed characteristic aortic wall thickening, leading to Takayasu arteritis diagnosis.
Conclusions:
- Takayasu arteritis is a potential, albeit rare, complication following COVID-19.
- Early suspicion and advanced imaging are vital for timely diagnosis of post-COVID-19 vascular inflammatory conditions.
- This case underscores the importance of considering rare inflammatory sequelae after viral infections.
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