Of the 122 Covid sufferers handled at the AIIMS in July-August, 53% exhibited non-pulmonary symptoms.
At AIIMS, about 53 per cent of Covid-19 instances reported in July and August had no symptoms involving the lungs, indicating that the virus has manifestations that transcend that organ.
Discussing the extra-pulmonary manifestation of Covid at the National Grand Rounds, consultants from departments of drugs, cardiology and neurology at AIIMS stated it has become a multi-system illness.
Dr Randeep Guleria, AIIMS director and pulmonologist, stated, “What we thought of as a simple viral pneumonia has a lot of other manifestations beyond the lungs. As we have learnt more and more, we realise it causes many extra-pulmonary manifestations. This is basically because of the fact that this virus enters into cells through ACE2 receptors, and these receptors are also present in many organs…”
Of the 122 Covid sufferers handled at the AIIMS in July-August, 53% exhibited non-pulmonary symptoms. Of these sufferers, 30% did not have comorbidities. Diabetes and hypertension had been the most typical comorbidities for 21 per cent and 20 per cent of the sufferers respectively. Other comorbidities included renal transplants, cancers and HIV/TB.
Guleria additionally stated that following up with sufferers was vital in the long run as they might develop lung fibrosis, cardiac dysfunction or neuro dysfunction.
Dr Ambuj Roy, head of cardiology at AIIMS, stated, “Covid can lead to cardiac complication as part of the systemic disease, or it could trigger cardiac ailments, or be coincidental to it. We have seen that other influenza-like diseases can lead to acute coronary events. So we must make sure patients are on secondary prevention for cardiovascular diseases.”
Abnormalities in blood coagulation, blood clots in veins and lungs had been additionally seen in larger frequency in sufferers and have prompted many deaths, consultants stated. High-grade fevers, hypotension and multi-organ dysfunction was seen particularly in sufferers with comorbidities.
Speaking about instances of alleged re-infection, Guleria stated it was not an issue proper now. “There were a lot of reports that came from South Korea that there were cases of reinfection and then it was discovered that it was just continuous viral load shedding which is not infectious…,” he stated.
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