Usami Osamu
Department of Respiratory Medicine, Kurihara Central Hospital, Miyagi, JPN.
Cureus. 2022 Jun 23;14(6):e26238. doi: 10.7759/cureus.26238. eCollection 2022 Jun.
Coronavirus disease 2019 (COVID-19) high-risk survivors experience long-term COVID-19 symptoms. Hence, these individuals require early and ubiquitous respiratory rehabilitation to avoid malnutrition. We report the case of a 93-year-old woman who recovered from moderate II severity (pneumonia requiring oxygen). The patient, after prolonged hospitalization, demonstrated low severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infectivity and showed no COVID-19 respiratory symptoms for more than 72 hours. Subsequently, the patient became debilitated and lost her appetite without dysphagia, dysgeusia, and smell disorder, developed nosocomial pneumonia as a sequela of acute COVID-19 and died. We also report the second case of an 84-year-old man diagnosed with moderate II COVID-19 severity. After recovery, the patient was frail due to the previous onset of COVID-19 and worsened during his stay at home, losing appetite without dysphagia, dysgeusia, and smell disorder, and dying of senility as the official cause. Recovered COVID-19 appears to be a health risk by malnutrition without anorexia and depression, among other conditions. A proven rehabilitation program for each phase of the disease is required for better lung function and nutritional status.
2019冠状病毒病（COVID-19）高危幸存者会出现长期的COVID-19症状。因此，这些个体需要早期且普遍的呼吸康复治疗以避免营养不良。我们报告了一例93岁女性患者的病例，她从中度II级严重程度（需要吸氧的肺炎）康复。该患者在长期住院后，显示出较低的严重急性呼吸综合征冠状病毒2（SARS-CoV-2）传染性，且超过72小时无COVID-19呼吸道症状。随后，患者变得虚弱，食欲不振，无吞咽困难、味觉障碍和嗅觉障碍，因急性COVID-19后遗症发展为医院获得性肺炎并死亡。我们还报告了第二例病例，一名84岁男性被诊断为中度II级COVID-19严重程度。康复后，该患者因先前的COVID-19发病而身体虚弱，在家中休养期间病情恶化，食欲不振，无吞咽困难、味觉障碍和嗅觉障碍，最终官方认定死于衰老。康复后的COVID-19似乎会因营养不良而带来健康风险，且不存在厌食和抑郁等情况。为改善肺功能和营养状况，需要针对疾病的每个阶段制定经过验证的康复计划。
