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According to Avid experts, Covid-19 can affect almost every organ

 


NEW DELHI: COVID-19 can affect almost every organ, not just the lungs, and early symptoms may be completely unrelated to chest complaints, AIIMS experts said on Wednesday. Said.

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.

Laboratory experts NITI Aayog including Dr. Randeep Guleria, Dean of Neurology MV Padma Srivastava, Professor of Cardiology Ambuj Roy, and Dr. Neeraj Nischal, associate professor of the “National Clinical Grand” School of Medicine once a week Rounds, co-organized with COVID-19 (new coronavirus infectious disease) (# If there is no character limit, add parentheses when first appearing..

Dr. Guleria stated to COVID-19 for eight months, a lot has been learned and strategies have changed from time to time.

He said there are many other symptoms beyond the lungs from what we consider to be viral pneumonia.

“As we know more and more about COVID-19, we’ve noticed that it causes a number of extrapulmonary symptoms, basically the fact that the virus invades cells via the ACE2 receptor. Also, because it is present in many organs, it affects other organs.

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

He notes that as far as the majority of COVID-19 cases are concerned, pulmonary symptoms continue to predominate, but a significant number of patients present with symptoms that may or may not be present. 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 COVID but had 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, classifying COVID-19 as mild, moderate, or severe based on respiratory symptoms alone 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. Dr. Nishall said he had no symptoms of COVID-19 according to existing severity guidelines.

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

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 COVID-19 (new coronavirus infectious disease) (# If there is no character limit, add parentheses when first appearing, So no pacemaker was placed and her heart rate gradually improved with supportive care.

“In COVID-19, at times, the electrical pulse system of the heart that causes the heartbeat can be affected, which is self-limiting and improves over time. Therefore, patients who usually need a pacemaker will You 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. ..

This article was published from a wire transfer feed with no changes to the text.

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