Discover and read the best of Twitter Threads about #longcovid

Most recents (24)

¿Qué es el Long-#Covid🦠?¿Cuáles son sus síntomas?

¿Cuáles son sus causas?

-#Tratamiento.
-Mialgias, sarcopenia, suplemetación con #VitaminaD.
-Dieta antiinflamatoria.

¿Qué dicen los estudios?

#AbroHilo Image
🔺El pasado mes marzo, la OMS publicó un documento describiendo un nuevo sindrome clínico llamado #LongCovid.
Muchos países evidenciaron la persistencia d determinados síntomás en pacientes q ya tenían alta epidemiológica x Covid (incluso hasta 12 semanas después del alta).
⬇️ ImageImage
🔺Aunque la incidencia fue mayor en pacientes q habían sido hospitalizados, también se advirtió en pacientes que habían cursado el cuadro en forma leve.

#Síntomas
⬇️
Read 18 tweets
Dude...

WTTD continued

Autoimmunity is becoming much more widely recognized as a #sequela of COVID19...multiple reports of previously healthy individuals who developed diseases: idiopathic #thrombocytopenic purpura, #GuillainBarré syndrome and #autoimmune haemolytic #anaemia>
There are three independent case reports of systemic #lupus erythemosus.

#Autoantibodies are very commonly found in #COVID19 patients, including antibodies found IN BLOOD...
Zuo et. al. found anti-phospholipid autoantibodies in 52% of hospitalized COVID19 patients and>
speculated that these antibodies contribute to the HIGH INCIDENCE of COAGULOPATHIES in these patients. Schiaffino et. al. reported that serum from a high percentage of hospitalized COVID19 patients contained autoantibodies reactive to the plasma membrane of HEPATOCYTES>
Read 12 tweets
In @medischcontact staat een column van neuroloog Keuter, waarin hij long COVID, SOLK en psychosomatiek bespreekt. Er is veel onbekend over #LongCOVID en het is beter om dat te erkennen dan om zelf de kennishiaten met aannames in te vullen. 1/ medischcontact.nl/opinie/blogs-c…
Het begint al in de eerste zin: "Tot 10 procent van de patiënten die covid-19 hebben gehad, geneest niet maar komt in een ziektebeeld met vermoeidheid, spierzwakte, benauwdheid, overprikkelbaarheid, cognitieve stoornissen en concentratieproblemen". 2/
Om tot een % te kunnen komen moet je eerst Long COVID eerst definiëren (hoe lang? welke klachten?), maar daar is helemaal geen geaccepteerde definitie voor. Een recente review vond dat beschikbare studies sterk verschilden in wat ze Long COVID noemden doi.org/10.1101/2021.0… 3/
Read 11 tweets
Der Skandal um #MECFS - ein paar mehr oder weniger sortierte Gedanken dazu ... Thread 1/x
Mittlerweile dürften es die meisten mitbekommen haben - @jensspahn und @AnjaKarliczek einmal ausgenommen: die Symptomatik von #LongCovid, #LongCovidKids ist altbekannt, und zwar von #MECFS. Für nicht wenige Longhaulers dürfte Covid-19 zu #MECFS werden, wovor seit > 1 Jahr ... 2/x
div. weltweit anerkannte Forscher warn(t)en, s. u. a. David Bell, Jonas Bergquist, Paul Cheney, Ron Davis, Mady Hornig, Nancy Klimas, Anthony Komaroff, Ian Lipkin, Judy Mikovits, Jose Montoya, Mark Loveless, Daniel Peterson, William Reeves u. v. m.. In diesem Zusammenhang ... 3/x
Read 43 tweets
FACT: Asymptomatic cases can still spread the coronavirus to someone vulnerable.

Vaccinate but still try to protect others who cannot / unable / unwilling (yes, let’s protect them too). #COVID19 #empathy Image
2) But homes, schools, and businesses are not HBO TV show sets with unlimited testing budgets. How many transmissions will there be if we ditch masks too early? variety.com/2021/tv/news/b…
3) We also aren’t rich like the Yankees— 8th member, shortstop Gleyber Torres, is positive for #COVID19 in latest team outbreak. All 8 members are fully vaccinated, thus “breakthrough positives.” Too early to ditch masks. Think of others not vaccinated yet.forbes.com/sites/joshuaco…
Read 4 tweets
Not pleased at all—In a sharp turnabout from previous advice, CDC on Thursday said fully vaccinated may stop wearing masks or maintaining social distance in most indoor and outdoor settings, regardless of size, regardless of others.

Too early. #COVID19
nytimes.com/2021/05/13/hea…
2) This is too risky in my opinion. asymptomatic transmission efficacy is only in the 70s-80s even for the best vaccines. Much lower for others and for some variants.
3) “Walensky's announcement have a few caveats. She warned that people who are immune compromised should speak with their doctors before giving up their masks.”
Read 21 tweets
📍My god… the upgraded warning #B16172 variant (magenta) is surging so fast. Epidemiologists now estimate it is 60% faster than even #B117 UK/Kent variant, which is already 50% faster. If true, it could make it fastest transmission one to be found worldwide. Thread 🧵. #COVID19
2) #B1672 has become quite dominant in India 🇮🇳 sequenced samples in @GISAID data. And it is projected to take over further by June. Figure from @TWenseleers.

Some say it could be due to sampling, but Tom doesn’t think so because #B16171 wouldn’t be selectively withheld.
3) @TWenseleers used his methods from earlier paper to estimate the new #B16172 transmission being 60% fast than the U.K. Kent #B117 variant.
Read 13 tweets
New study: COVID virus particles found in the penis tissue of men who'd had COVID 6-8 months earlier (both severe & mild COVID).

Additionally, the team found endothelial (blood vessel) dysfunction, causing severe erectile dysfunction.

wjmh.org/DOIx.php?id=10…
#LongCOVID
1/
In another study, total sperm count was lower in COVID patients at a 3 month followup:

wjmh.org/pdf/10.5534/wj… #LongCOVID
2/
Our last preprint found 15% of men reported sexual dysfunction, and others reported pain and decrease in genital size. #LongCOVID


3/
Read 3 tweets
Voor wie dit nog niet wist:

#LongCovid is NIET dat je door Covid problemen hebt met je longen. Long (Engels) staat voor lang(durig).

#LongCovid is de verzamelnaam voor langdurige klachten als gevolg van een coronabesmetting. De klachten zijn vaak heel divers =>
Een greep uit de klachten:
- zware hoofdpijn en moeite met concentreren
- longpijn en benauwdheid
- hartkloppingen/oplopende hartslag bij lichte activiteit
- koorts
- extreme vermoeidheid
- reuk- en smaakverlies
- duizeligheid
- keelpijn en stemverlies

Voor dit alles geldt =>
1. De meeste mensen met #LongCovid hebben meerdere klachten.

2. 'Langdurig' betekent dat mensen MINSTENS een paar maanden na besmetting nog steeds klachten hebben. Sommige mensen uit de eerste golf (maart/april 2020) hebben nog steeds klachten en zijn dus al 14 maanden ziek.

=>
Read 6 tweets
Ein Schlag ins Gesicht für ALLE Betroffenen schwerer physischer (!) energielimitierender Erkrankungen #mecfs #narkolepsie #idiopathischehypersomnie - wie viel Herablassung & Ignoranz geht noch? 🤬👎🏻 Fun Fact: Heute ist 28. Internationaler ME/CFS-Tag
Seitens NIH/USA wurde bereits im Februar '21 > 1 Milliarde $ Forschungsgelder für #longcovid bewilligt. In DE weiß die Politik nicht, wo es ReHa-Maßnahmen/-kliniken gibt, sieht keinen Handlungsbedarf. Und kennt das Wörtchen #mecfs nicht. Ihr Ernst? @jensspahn @AnjaKarliczek
CDC-Definition #mecfs: "Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a serious, long-term illness that affects many body systems."
#karliczeksschlafkrankheit #spahnsschlafkrankheit
Read 8 tweets
Please retweet! This new study could help us understand #LongCOVID. Consider participating if you’re in the New York City area and even if you don’t have persistent post-COVID symptoms or were never infected by SARS-CoV-2 as the study needs you too!
Post-Viral Autoantibodies in Patients with Cognitive Dysfunction and/or Postural Orthostatic Tachycardia Syndrome (POTS)
The purpose of this study is to understand why patients develop cognitive dysfunction (e.g., brain fog) and/or POTS after a viral illness by testing whether it might be associated with autoimmunity in which abnormal antibodies cause the disease.
Read 11 tweets
1/1

#Covid19 tips

⏺ 90% have mild covid19 & recover at home - isolate at home for 10 days and take paracetamol and/or ibrufen for fever & body ache

⏺ 10% develop in week 2 new fevers or breathing difficulty ( 6 minute walk test) or oxygen levels < 90% - get checked up
1/2 #Covid19 tips

⏺ those with breathing difficulty need CT scan and blood tests and initiation of low dose steroids as per doctor orders ( No self medication ) - most can still be managed at home

⏺ those who need oxygen need to be admitted- most recover
1/3 #Covid19 Tips

For Admitted covid19 patients

#Plasma therapy has no benefit

#Remdesvir has no benefit in improving outcomes

⏺ d-dimer high level is predictor of mortality

⏺ in severe covid prophylactic anticoagulation may help prevent clotting
Read 10 tweets
The approval of the Pfizer #covid19 vaccine for age 12-15 is not unexpected - but it is nonetheless momentous, both for our kids, and for our communities.

A thread.🧵
1) Over the last week alone, the U.S. has seen a 13% decrease in #COVID19 cases and an 8% decrease in hospitalizations.

And hey! the 10 states with the highest vaccination rates were responsible for 50% of the drop in case rates.

wsj.com/articles/covid…
It is true that kids and young adults are much less likely to die than older adults.

But: the drop in death rates among younger ages (unvaccinated) has been SLOWER than the drop in death rate among older adults (who are, largely, vaccinated).

covid.cdc.gov/covid-data-tra…
Read 14 tweets
#LongCOVIDPhysio formed in November 2020 and as a group we’ve achieved a lot in this time. So what have we been doing in the context of #LongCOVID? A thread 🧵 longcovid.physio
Firstly we provide loads of free resources with huge diversity of topics, including what is “#LongCOVIDlongcovid.physio/longcovid
Read 19 tweets
Der Artikel ist über drei Monate alt, und jedes Wort ist weiterhin wahr.

16 Gründe, warum ein #Niedriginzidenzstrategie wie #NoCovid/#ZeroCovid jeder anderen Strategie überlegen ist. Thread.

theguardian.com/world/commenti…
1. Weniger Tote. #LebenRetten
2. Kaum #LongCovid, kaum #LongCovidKids.
Read 17 tweets
The three prime blunders of managing #COVID19India in 2021 (many others too)
We would recognize two now because they contribute to our surge now. The third one is not yet known to the health system and the powers that run it.
1/n
The first one - the premature declaration of victory over #COVID19 in initial months despite UK & other countries still under a strict lockdown. This percolated down and many stopped taking precautions and worse - made fun of those who were careful. ✌️ was declared at the 🔝 2/n
Second one - mismanagement of #COVID19Vaccination - no orders in Jan, complicated approval, online registration & deliberate slow vaccination (words of task force member) - result is poor rates, unnecessary vaccine hesitancy, why vaccinate when we achieved ✌️ over COVID19 3/n
Read 6 tweets
1/ 🧵 What is “Brain Fog” in #COVID19: discussion, papers & pts
 Brain Fog is a non-medical term but it works since it’s what pts describe. Whether in a ward, ICU on a vent, or months later as a #LongHauler w #LongCOVID, they are “in a fog.”

bit.ly/3vMZ2ui

#medtwitter
2/ Medically this is #Delirium acutely and #Dementia chronically + various forms of neuropsychological impairment coupled with #depression and #PTSD.
 
Our paper: go.nature.com/3nU9ZYm
3/ Scientifically, it’s millions of neurons sick, dying or dead. This is depersonalizing & devastating. Fig A shows MRI 3 mos after ICU in pt w/out delirium vs B shows ICU pt w #Delirium. Duration of delirium predicted loss of 🧠 tissue.

Our MRI study - bit.ly/3uxAqFQ
Read 13 tweets
Postviral vagal neuropathy (meaning a damaged vagus nerve) is found in some #LongCovid patients.

This can result in things like vocal cord dysfunction & can be the reason some patients have persistent shortness of breath but normal imaging:

online.anyflip.com/lpff/ryer/mobi… 1/
The vagus nerve is a super important nerve (and is also the longest cranial nerve, running from the brainstem to the colon). Damage to it can impact many parts of the body (I find the decreased production of stomach acid interesting here) 2/
It can also cause a condition called gastroparesis, which may explain some #LongCovid symptoms 3/
Read 4 tweets
@sypwynia 1) Zover ik weet komt Elisa Perego de bedenker van de naam #longCOVID niet, zoals de heer @Focusscience1 claimt, uit de VS. Ze is een archeoloog aan University College London. 🤔 sciencedirect.com/science/articl…
@sypwynia @Focusscience1 2) Het klopt natuurlijk dat we niet 100% zeker weten dat de effecten van long-COVID levenslang duren. Echter het kan natuurlijk zijn dat de heer @GeorgeMonbiot gewoon de "geschiedenisboeken" er op nageslagen heeft: 

tandfonline.com/doi/full/10.10…
@sypwynia @Focusscience1 @GeorgeMonbiot 3) Ik kan een hele lange reactie op het stuk van psychiater Devine schrijven. Verbaast me dat @focusscience1 het alleen over patiëntengroepen heeft maar reacties van academici niet meegenomen heeft? Er is namelijk feitelijk gezien heel wat op het stuk van Devine aan te merken.
Read 20 tweets
Young healthy adults after COVID: "strikingly lower vascular function and a higher arterial stiffness compared with healthy controls"

Vascular alterations among young adults with SARS-CoV-2 American Journal of Physiology-Heart and Circulatory Physiology journals.physiology.org/doi/full/10.11…
Image
Read 4 tweets
C-19 nú de ziekte van kinderen?Kinderen & adolescenten zullen wat vaccins betreft onbeschermd blijven - zeker tot de zomer en misschien nog wel langer. In de nazomer zal, als alles goed gaat, kunnen worden begonnen met het vaccineren van twaalf- tot zestienjarigen in Oostenrijk,
zegt Michael Wagner, @MichiWagner4 microbioloog aan de universiteit van Wenen en hoofd van een hoog aangeschreven onderzoek naar de corona dark number op scholen in Oostenrijk. @SDicht @CarlvKeirsbilck @DasUlrike @Tweedle65921973
Voor jongere kinderen hoopt hij "tegen het einde van het jaar of het begin van het nieuwe jaar" met de inenting in Oostenrijk te kunnen beginnen.
Al enig plan voor #Belgie @alexanderdecroo @PedroFacon ?
Read 23 tweets
Good afternoon #PrimeMinister,
Reading the @Telegraph article below has caused me significant angst. As a healthcare professional who has seen just what #COVID19 can do, I am struggling to understand the rationale behind this decision.
🧵
@BorisJohnson
telegraph.co.uk/politics/2021/…
Just as we are unlocking cautiously you want to risk the lives of more individuals by removing one of the few mitigations in secondary schools?
We know that #COVIDisAirborne & that we have several #VariantsOfConcern here already.
Have you seen this chart #PrimeMinister?
V few <40s will be vaccinated by May 17th & while their individual risk of serious disease or dying is low, their risk of #LongCovid is MODERATE!
Many parents & teaching staff are <40.
The numbers of #NHS & teaching staff w/ it already are horrendous. Why put more ppl at risk?
Read 11 tweets
Eltern, Lehrer:innen und Direktor:innen sollten Schulausbrüche bzw. jede symptomatische Infektionen von Kindern, die mutmaßlich in der Schule oder am Schulweg erfolgt ist, als Arbeitsunfall melden.

#Kinder sind beitragsfrei bei der AUVA unfallversichert. 1/

#Covid19at #Schulen
Die AUVA hat diese Information zu Covid-19 als Berufskrankheit Nr. 38 veröffentlicht. 2/

auva.at/cdscontent/?co…
Die Folgen einer Anerkennung als Arbeitsunfall / Berufskrankheit sind umfangreichere Kassen-Leistungen bei (Langzeit-)Folgen bzw. der Anspruch auf eine Rente, wenn die Erwerbsfähigkeit dauerhaft eingeschränkt würde. #LongCovidKids

Die Meldung soll auch bei milden Symptomen 3/
Read 13 tweets
"Prioritise the elderly & high risks"

Easy to be said,
NOT easy to be done.

Many elderly people are still vaccine-hesitant:their main source of info is "fear-mongering" Whatsapp chain messages.

This is a 🧵on #COVID vaccine's risk & why we should not wait for an IDEAL vaccine.
2/ Many of the high risk patients who we counselled for vaccine still are hesitant & adopted approach of "Tunggu Dulu la"
Despite our best efforts explaining the risks

Remember when Pfizer first came out? Many people went bonkers over the anaphylaxis issue despite reassurances.
3/ When Pfizer came out, people say "oh I wanna wait for AZ/Sinovac/J&J"

Now AZ are in, people are super scared over the risk of VITT (blood clots):they are saying "Let's wait for Pfizer" 🤷🏻‍♀️

J&J also has reports of VITT now.

Sinovac has minimal data on adverse effects for now.
Read 12 tweets

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