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Coronavirus Infections: COVID-19 Can Affect Almost All Organs, AIIMS Experts Say

 


During the session, Dr. Guleria said he learned a lot about COVID-19.During the session, Dr. Guleria said he learned a lot about COVID-19.

Effects of coronavirus: According to AIIMS experts, COVID-19 from coronaviruses can affect almost every organ except the lungs. The initial symptoms of COVID-19 may be completely unrelated to chest complaints, according to a PTI report. Experts also stressed that current methods of determining case severity based solely on respiratory symptoms should be revisited and expanded to include involvement of other organs.

ATIMS experts discussed various extrapulmonary complications that could be caused by COVID-19 in a weekly “National Clinical Grand Round” in collaboration with NITI Aayog. The panel of experts included Dr. Randeep Guleria, Director of AIIMS, Dr. MV Padma Srivastava of Neurology, Dr. Ambuj Roy of Cardiology, and Dr. Neeraj Nischal, Associate Professor of Medicine.

During the session, Dr. Guleria has learned a great deal about COVID-19 now, eight months after the world entered a pandemic, and these insights are frequent in the strategies adopted to combat infections. It will bring about significant changes. He was also initially thought to have viral pneumonia, but the report found that the infection crossed lungs.

In addition, he stated that the virus uses the ACE2 receptor to enter cells. Although they are abundant in the lungs and upper respiratory tract, they are also present in some other organs, so these organs are also affected. He said they saw many patients with features that were extrapulmonary. He said that although most cases of COVID-19 had predominantly pulmonary symptoms, the number of patients with extrapulmonary symptoms, whether or not alongside lung problems, was still quite high. ..

He added that at this point in time, clinicians should have “highly suspicious indicators” when they suspect, treat, and isolate such patients so that they can provide quality care.

In the discussion, experts highlighted some cases where patients were classified as asymptomatic or mild cases of COVID-19 based on respiratory symptoms. Even if you have serious, life-threatening extrapulmonary symptoms such as heart block or stroke.

According to the report, Dr. Nishall said COVID-19 is now a polysystemic disease. However, it is still unclear whether these extrapulmonary manifestations are actually a result of the novel coronavirus (SARS-CoV-2), or were they actually present in the patient’s body rather than in the patient’s body. Not any role in these symptoms.

He was then asked to reconsider how to classify cases as mild, moderate, or severe. He also emphasized that patients with other organ lesions should be treated according to existing guidelines for the management of that particular complication itself. He also cited a 35-year-old man who was diagnosed with life-threatening cortical vein thrombosis, accompanied by cases of headache and vomiting. He was also COVID-19 positive and, according to the current classification system, he was asymptomatic.

Padma states that various neurological conditions are associated with COVID-19, and in some cases the brain. She said it could cause coagulation and consequently stroke, or it could cause an infection that leads to encephalitis. Alternatively, there may be other complications that may have nothing to do with the lungs, the report said.

The report said Dr. Roy presented a case where the patient brought a very low pulse rate. The patient was found to be positive for COVID-19 and required initial support to improve heart rate. Dr. Roy usually stated that in such cases, a pacemaker was attached to the patient, but using the recorded experience, he realized that COVID-19 could be the cause, A pacemaker was born. The patient’s heart rate gradually improved with the help of supportive care. Dr. Roy said that COVID-19 can affect the human electrical pulse system and cause heartbeat. These patients do not need a pacemaker, as this improves over time, Dr. Roy said.

However, more evidence is needed to confirm whether these disorders are the result of COVID-19 itself. Because this disease is new, there is currently limited information and experience available.

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