43-year-old woman with symptoms over 185 days: profile of a persistent COVID patient

A 43-year-old woman with no abnormalities who has symptoms for more than 185 days. According to a study by the Spanish Society of General and Family Physicians (SEMG), persistent COVID-19 after contracting the disease in the first wave of a pandemic is the most common patient profile with persistent Covid. Long Covid acts have affected groups from July 13 to October 14 this year.

During these three months, a total of 2,120 people responded to the survey, of whom 1,834 were patients with symptoms consistent with persistent or long-term Covid-19 (of whom 79% were women). Half of the patients were between 36 and 50 years old. age and came from the communities of Madrid (35%) and Catalonia (30%).

78 percent of those surveyed had a diagnostic test, most often a PCR test, which tested positive in 73 percent. Likewise, the survey shows that 59 percent of the total passed the control test. Despite the fact that at the beginning of the pandemic there was Obvious problems when accessing testsThe persistence of symptoms in this survey did not present statistically significant differences between those who had access to diagnostic tests and did not have access, nor between those who tested positive or no longer, probably because they were taken late.

Similarly, the study reported up to 200 persistent symptoms that vary over time, with an average of 36 symptoms per person, which in turn they interfere the most with daily tasks… Thus, the most common symptoms, according to the percentage, are fatigue / asthenia (95.91%); general malaise (95.47%); headaches (86.53%); bad mood (86.21%); muscle pain or myalgia (82.77%); shortness of breath or shortness of breath (79.28%).

Other very common symptoms seen in patients are: joint pain, lack of concentration / attention deficit, back painchest pressure, anxiety, low-grade fever, cough, memory lapses, neck / cervical pain, diarrhea, chest pain, palpitations, dizziness and tingling in the extremities or paresthesias.

As for organ damage, 50 percent of respondents have 7 affected areas, General symptoms, the most frequent being (95%), neurological disorders (86%), psychological / emotional problems (86%), problems with the musculoskeletal system (82%), breathing problems (79%), digestive disorders ( 70%), cardiovascular disorders (69%), otorhinolaryngological disorders (65%), ophthalmic disorders (56%), dermatological disorders (56%), blood coagulation disorders (38%) and nephrourological disorders (25%).

Patient experience

Questionnaire questions that related to the patient’s experience with their health, 50 percent got it from 0 to 5. on a scale from 0 to 10 (maximum health level 10). As for the deterioration of their health, 50 percent rated it at 7-10 points out of 10 (10 is the maximum deterioration), and half of the respondents rate their current disability at 5-10 points out of 10, i.e. maximum disability.

This results in a marked inability to carry out daily activities in people affected by Persistent Covid. For example, 30.43% of respondents find it difficult or unable to cleanse themselves; 67.99% are engaged in household chores; 72.52% work outside the home; 70.12% have difficulties with daily family responsibilities 74.65% consider leisure with friends and other people an effort or impossible.

Thus, according to SEMG Vice President Pilar Rodriguez Ledo, it is “necessary” to investigate the disease and deepen its causes in order to work on it, not just the symptoms. In this sense, he stressed that two possible hypotheses are being considered to explain persistent COVID: on the one hand, the virus can persist outside of the places where it is usually sought, because PCR examines only the oropharynx.; and another line is that the virus triggered a chronic inflammatory cascade, causing immunological damage.

For her part, the patient affected by Persistent Covid, Anna Kemp, expressed regret at the “abandonment” and advocated the registration of victims. “We feel forgotten, invisible, institutions are missing; We do not add to the statistics because we have not recovered or died, but we need to appear in them, and for the institutions to be involved, because this will become a public problem, “he said.” We are faced with the unknown, the unrecognized and very – a disability that affects young people without previous pathologies at the peak of their work activity, ”he warned.

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