Infectologist alerts about short and long-term sequelae of COVID-19

SANTO DOMINGO. -The aftermath for the COVID-19 can be reflected in the people in the part Physics, emotional, social, affective and learning, and these can be sharp, demonstrations prolonged or generated by vaccines, indicated the infectologist y he teaches of the INTEC, Hector Balcácer.

"You can enter a process in which the sequels or scars are not something visible, but rather an eminently emotional process," said the doctor, while referring to other consequences reflected in the social part, because people With the virus they can feel excluded or isolated and, emotionally, others lost loved ones and their environment was affected.

The doctor stated that, regarding acute manifestations, patients may have peripheral circulatory disorders linked to COVID-19, with compromise of the distal part of the circulation, and one of the situations that are linked to the virus is damage to blood vessels, also known as Cytokine waterfall, soluble substances that generally stimulate an inflammatory or immune response in an individual.

"Precisely that activation of the cells that produce the inflammatory condition occurs trying to respond against COVID-19 and causes damage to blood vessels, leading people to produce clots that form a thrombus and prevent the arrival of blood," he said. Balcácer, while remembering that there are people who have lost limbs as a result of infection and compromise of vascular structures.

He pointed out that another of the acute manifestations is the appearance of vesicular lesions in the Tsar and chest, which have been mistaken for chickenpox and slowly disappear after several weeks. Regarding vaccines, the doctor affirmed that they can produce any type of extra pulmonary manifestation similar to what the virus would be.

"Even the vaccines have gone through all the necessary phases for their approval, there is still Phase 4 (monitor after they go on the market), because the rarer adverse aspects appear as more people are exposed to the vaccine", said the infectologist.

In addition, the INTEC teacher stated that other disorders that can be generated in the acute part are liver problems, kidney disorders y respiratory, cardiovascular, coagulation, neurological. He also said that about 25% of people, that is, one in four patients with COVID-19 may have hair loss, but it is generally reversible and they manage to have the amount of hair they had before contracting it.

Prolonged symptoms

At present, it is directly recognized that when talking about prolonged coronavirus symptoms, it is generally nothing more than a persistence of the same symptoms that the patient presented in the acute phase, such as fatigue, dyspnea or shortness of breath and loss of smell .

During the conversation "Aftermath of COVID-19" carried out by INTEC, Dr. Balcácer mentioned two definitions, the first, persistent symptomatic people that last a month with some symptoms after being negative and the second, postcovid syndrome, those that last more than three months with symptoms.

On why COVID-19 can present so many manifestations, he said that there are two proposed hypotheses, the first, about stimulating the immune system and the second, that even the virus dies and its genetic material cannot be transmitted, finds the residues and remains causing a sustained inflammatory condition in the immune system.

He said that it has been linked that some people who have virus infection can cause damage to the pancreas and suffer from diabetes, regardless of the fact that treatment with corticosteroids could also be associated with very high blood glucose levels.

He affirmed that among the people most likely to present prolonged COVID are young women, who have low IgG levels when leaving the box and those who have a lot of symptoms during the process. "The two manifestations that are most associated with the fact that you will present with manifestations for a long time are the loss of smell and the presence of diarrhea," said the doctor.

He offered some recommendations for patients with new symptoms or that persist more than four weeks after negatives, including performing a blood count to determine organ damage, exercise tolerance test, and if the patient is more than 12 weeks old, then a blood test should be performed. imaging study.