COVID-19 Legacy

Amit P Ladani1, Muruga Loganathan1, Murali K Kolikonda1

  • 1From 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.

Southern Medical Journal
|December 2, 2021
PubMed

Insights

COVID-19 survivors may experience long-term health issues, including fatigue and organ-specific complications. Further research into these prolonged symptoms is crucial for effective patient management and treatment strategies.

Area of Science:

  • Infectious Diseases
  • Public Health
  • Virology

Background:

  • Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, resulted in a global pandemic.
  • The acute phase presents with diverse symptoms, including respiratory failure, neurological events, and dermatological manifestations.
  • Long-term sequelae (long COVID) and unpredictable recovery trajectories affect survivors, even those with initially mild illness.

Purpose of the Study:

  • To highlight the need for comprehensive understanding of post-acute COVID-19 manifestations.
  • To emphasize the ongoing uncertainty in determining prognoses for COVID-19 survivors.
  • To advocate for the examination of patient databases to inform long-term care.

Main Methods:

  • Review of existing literature on COVID-19 acute and prolonged symptoms.
  • Identification of key areas requiring further investigation, such as post-acute dyspnea, anosmia, and multisystem inflammatory response syndrome.
  • Proposal for the analysis of patient databases by multidisciplinary teams.

Main Results:

  • COVID-19 can lead to a wide spectrum of acute symptoms and chronic sequelae.
  • Long-term complications can affect various organ systems and persist even after mild initial infections.
  • Prognosis determination for long COVID remains challenging due to the evolving understanding of the disease.

Conclusions:

  • Continued research and analysis of patient data are essential to understand the long-term impact of COVID-19.
  • Multidisciplinary approaches are necessary to assess and manage the diverse complications of long COVID.
  • Improved understanding will guide the development of targeted treatments and improve patient outcomes.

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