From the Department of Medicine, Division of Rheumatology, and the Department of Behavior Medicine and Psychiatry, West Virginia University, Morgantown, Baptist Health, Lexington, Kentucky, and the Department of Psychiatry, University of Louisville School of Medicine, Louisville, Kentucky.
South Med J. 2021 Dec;114(12):751-759. doi: 10.14423/SMJ.0000000000001337.
Coronavirus disease 2019 (COVID-19) is an infection caused by the severe acute respiratory syndrome-coronavirus-2 virus that led to a pandemic. Acute manifestations of COVID-19 include fever, cough, dyspnea, respiratory failure, pneumonitis, anosmia, thromboembolic events, cardiogenic shock, renal injury, ischemic strokes, encephalitis, and cutaneous eruptions, especially of hands or feet. Prolonged symptoms, unpredictable recoveries, and chronic sequelae (long COVID) sometimes emerge even for some people who survive the initial illness. Sequelae such as fatigue occasionally persist even for those with only mild to moderate cases. There is much to learn about postacute COVID-19 dyspnea, anosmia, psychosis, thyroiditis, cardiac arrhythmia, and/or multisystem inflammatory response syndrome in children. Determining prognoses is imprecise. Examining patient databases about those who have survived COVID-19 is warranted. Multidisciplinary teams are assessing such disease databases to better understand longer-term complications and guide treatment.
新型冠状病毒病(COVID-19)是由严重急性呼吸系统综合征冠状病毒 2 型病毒引起的一种感染,导致了大流行。COVID-19 的急性表现包括发热、咳嗽、呼吸困难、呼吸衰竭、肺炎、嗅觉丧失、血栓栓塞事件、心源性休克、肾损伤、缺血性中风、脑炎和皮疹,尤其是手或脚。即使对于一些从最初疾病中幸存下来的人,也会出现长时间的症状、不可预测的恢复和慢性后遗症(长 COVID)。即使对于只有轻度至中度病例的人,偶尔也会持续出现疲劳等后遗症。关于儿童急性 COVID-19 后呼吸困难、嗅觉丧失、精神病、甲状腺炎、心律失常和/或多系统炎症反应综合征,还有很多需要了解。确定预后并不精确。检查 COVID-19 幸存者的患者数据库是有必要的。多学科团队正在评估这些疾病数据库,以更好地了解长期并发症并指导治疗。