Pneumonia: Covid-19 infections affect almost every organ, not just the lungs. May lead to stroke

They emphasized that classifying cases into mild, moderate and severe categories based solely on respiratory symptoms should be reviewed to include involvement of other organs.

Researchers’ experts such as Dr. Randeep Guleria, Dean of Neurology MV Padma Srivastava, Professor of Cardiology Ambuj Roy, and Dr. Neeraj Nischal, Associate Professor of Medicine at the “National Clinical Grand Round” once a week’ Covid-19, co-organized with NITI Aayog, discussed various potential extrapulmonary complications.

Dr. Guleria said eight months to Covid-19, many have been learned, and strategies have changed from time to time in response.

Because we thought we were viral pneumonia He said there are many other symptoms beyond the lungs.

“As we all know more about Covid-19, we’ve realized that it causes a lot of extra lung symptoms, which basically means that this virus is abundant in the upper respiratory tract and lungs, ACE2. It is the fact that it invades cells through receptors, and because it is present in many organs, it affects other organs as well.

“We have seen many patients who are characterized by extrapulmonary symptoms, but not primarily by the lungs,” said Guleria.

He said that pulmonary symptoms continue to predominate as long as the majority of Covid-19 cases are involved, but that a significant number of patients show symptoms that are either associated with pulmonary symptoms or absent pulmonary symptoms. Said that.

“As a clinician, we need to have a high suspicious index during this pandemic-we need to suspect, treat, and isolate these patients so that we can provide quality care. Yes,” he stressed.

Program experts presented a number of cases in which patients were classified asymptomatic or mild to Covid, but with severe life-threatening extrapulmonary symptoms such as stroke and heart block.

“What started out as viral pneumonia is now a multi-system disease. But the jury is wondering if SARS-COV2 is the cause of these extrapulmonary symptoms, or by accident, in the wrong place and in the wrong place. I made it clear that he was an innocent bystander.”

“Thus, the classification of Covid-19 into mild, moderate, and severe, based solely on respiratory symptoms, should be reviewed to incorporate involvement of other organs,” he said.

Dr. Nishall further emphasized that the management of such patients with other organ lesions should follow existing guidelines for that particular complication.

A medical doctor also highlighted the case of a 35-year-old man who had a headache and vomiting but was found to have life-threatening cortical vein thrombosis.

Testing revealed that he was positive for Covid-19. According to existing severity guidelines, Dr. Nischal said he had no symptoms of Covid-19.

“There is a large spectrum of neurological symptoms associated with Covid-19. In some patients, the brain is involved, which leads to coagulation, causing strokes and infections that can lead to encephalitis and Do it in the lungs, which can cause other complications.”

Dr. Ambuj’s team presented a case of a patient who came with a very low pulse rate, detected Covid-19 positivity, and needed initial support with some medications to improve heart rate.

“Pacemakers are commonly used to improve heart rate in such patients, but based on experience in the literature, some of these may be due to Covid-19 I recognized

“Sometimes the heart’s electrical pulse system that causes the heartbeat can be affected with COVID-19, which is self-limiting and improves over time. Therefore, those patients who normally need a pacemaker , May not need it.

“But this is a new disease, and more information is needed to be conclusive, as limited information and experience about it is currently available,” Dr. Roy said. ..