Pulmonary and extrapulmonary post COVID complications: incidence, clinical spectrum and characterization

Document Type : Original Article

Authors

1 Chest department, faculty of medicin,zagazig university, zagazig, Egypt

2 Chest Disease Department, Faculty of Medicine, Zagazig university

3 Chest Diseases Department, Faculty of Medicine, Zagazig university

Abstract

Background: COVID-19 is a disorder of multiple systems in which cases experience psychological or physical symptoms for weeks or even months following infection, a condition known as post-COVID syndrome. The present work aims to identify post-COVID symptoms and sequelae that occur in patients by following up on these patients for six months after hospital discharge and stabilization of acute symptoms.

Methods: This prospective cohort study was performed on 100 cases already diagnosed with COVID-19 in the isolation unit of Zagazig University hospitals from May 2022 to October 2022. Data on acute COVID-19 disease and the severity of patients' conditions were recorded based on the Egyptian Management Protocol for COVID-19.

Results: Post covid complications were reported in 72% of participants. The most frequent post-COVID complications were anxiety (49%), persistent dyspnea (36%), fatigue (33%), cough (32%), and olfactory deficit (27%). Regarding CT findings, reticulations, ground glass, and patches were remarkably elevated in cases with post-covid than in cases without post-covid. Comparing CT findings after six months between cases with and without post-covid, reticulations, GGO, and nodules were markedly elevated in cases with post-covid than cases without post-covid (p<0.05).

Conclusion: Most of the subjects who recovered from covid 19 experienced several manifestations after recovery from the acute stage of covid 19, including anxiety, fatigue, joint pain, and headache, which were correlated significantly with the symptoms and comorbidities

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Zagazig University Medical Journal

Articles in Press, Accepted Manuscript
Available Online from 18 December 2023

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