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posted by martyb on Monday August 03 2020, @04:04AM   Printer-friendly
from the quantify-*this*-in-dollars dept.

COVID-19 long-term effects: People report ongoing fatigue, brain fog and breathlessness, so what's happening in the body?:

As with many aspects of the new coronavirus, researchers are trying to pull together data to understand the medium-term health effects more fully.

[...] Its impact on the heart still isn't clear, Dr Gallo says, but studies published in recent weeks describe abnormalities in the hearts of patients who have completely cleared the virus.

"[The researchers] asked them about their just general wellbeing and a lot of the patients are commenting on just being generally exhausted and having shortness of breath, some of them having palpitations, atypical chest pain," she says.

What's more, many of these patients weren't that sick with COVID-19 — most of them had managed their illness at home, rather than needing hospital treatment.

[...] Other persistent symptoms people report have to do with the brain: "brain fog", sleeplessness and headaches.'

[...]Fatigue, which is more than just a feeling of tiredness, and can be associated with things like a "foggy" brain, slowed reflexes and headaches, is usually a useful response to infections.

"There's a good reason for that — mounting an immune response to fight an infection takes a huge amount of energy," Dr Landowski says.

"The body wants you to do as little as possible, so you can conserve energy and divert it to the immune system.

Then, once the infection is eliminated, the fatigue dissipates.

"However, in some people, the switch that returns the body back to normal seems to fail, resulting in chronic fatigue."

[...] "Regardless of which cells it's infecting, if it's infecting cells in the brain, it could be causing damage, which could have long-term consequences," Dr Lawson said.

Even if the virus doesn't infect brain cells directly, inflammation caused by the virus could also cause damage to the brain.

Some experts are concerned the medium-term effects on the brain might have consequences that reach further.

In an article in the Journal of Alzheimers Disease Reports, experts raise the question of whether people who've had COVID-19, particularly those whose symptoms included loss of taste or smell, will be at greater risk of conditions including Alzheimer's disease after they recover.

The last-linked article from above (which is open-access), is excerpted here with links sprinkled on some of the unusual terms:

Some of the earliest neurologic findings were in those experiencing COVID-19-related anosmia and dysgeusia [2]. Important to this equation is that COVID-19 may prove to be a risk factor for future neurodegenerative disorders, beyond that which would be expected in the context of other comorbidities and genetic predispositions. Anosmia and the biological processes resulting in this symptom contribute to grey matter loss in cortical regions [3], which is similar to where pathognomonic amyloid plaques are often discovered [4]. Olfactory dysfunction has also been found to be associated with the graduation from mild cognitive impairment (MCI) to AD, serving as a potential identifier for preclinical stages [5].

[...] It has become clear that many age-related conditions are found among those testing positive for COVID-19, though some of these are also related to lifestyle and family history. ... Systolic hypertension in midlife, rather than only late life, is associated with 18% and 25% increased risk of AD, respectively ... These cardiovascular risk factors are directly related to cerebrovascular consequences, such as hypoperfusion, a symptom strongly associated with MCI and AD [14]. Plasma exchange and albumin for AD patients with hypoperfusion, for example, has been shown to improve cognitive deficits and initiate cerebrospinal fluid (CSF) amyloid-β (Aβ)...

Journal Reference:
Jack C. Lennon. Neurologic and Immunologic Complications of COVID-19: Potential Long-Term Risk Factors for AlzheimerΓÇÖs Disease [open], Journal of Alzheimer's Disease Reports (DOI: 10.3233/ADR-200190)

Got it! The millennials surviving COVID-19 today may have higher chances of an early onset of dementia than the baby boomers of today.


Original Submission

 
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  • (Score: 1, Informative) by Anonymous Coward on Monday August 03 2020, @05:59AM (1 child)

    by Anonymous Coward on Monday August 03 2020, @05:59AM (#1030604)

    Patients with pneumonia had depleted vitamin C status compared with healthy controls (23 ± 14 µmol/L vs. 56 ± 24 µmol/L, p < 0.001). The more severe patients in the ICU had significantly lower vitamin C status than those recruited through AMAU (11 ± 3 µmol/L vs. 24 ± 14 µmol/L, p = 0.02). The pneumonia cohort comprised 62% with hypovitaminosis C and 22% with deficiency, compared with only 8% hypovitaminosis C and no cases of deficiency in the healthy controls. The pneumonia cohort also exhibited significantly elevated protein carbonyl concentrations compared with the healthy controls (p < 0.001), indicating enhanced oxidative stress in the patients. We were able to collect subsequent samples from 28% of the cohort (mean 2.7 ± 1.7 days; range 1–7 days). These showed no significant differences in vitamin C status or protein carbonyl concentrations compared with baseline values (p = 0.6). Overall, the depleted vitamin C status and elevated oxidative stress observed in the patients with pneumonia indicates an enhanced requirement for the vitamin during their illness. Therefore, these patients would likely benefit from additional vitamin C supplementation to restore their blood and tissue levels to optimal. This may decrease excessive oxidative stress and aid in their recovery.

    [...]

    Although the samples in our study were collected prior to the SARS-CoV-2 outbreak, it is likely that people with COVID-19-associated pneumonia and sepsis would have similarly low vitamin C status and high oxidative stress. Early case reports from the 1940s indicated that IV administration of gram doses of vitamin C to cases of viral pneumonia rapidly improved common symptoms [38]. There are currently a number of intervention trials up and running around the world that will specifically test IV vitamin C for COVID-19-related pneumonia and sepsis. Furthermore, it is likely that patients with other severe infectious conditions may also have low vitamin C status. This has been previously demonstrated in patients with tuberculosis, bacterial meningitis, tetanus and typhoid fever [12,13]. These patients would also likely benefit from additional vitamin C supplementation.

    https://pubmed.ncbi.nlm.nih.gov/32384616/ [nih.gov]

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  • (Score: 2) by Bot on Monday August 03 2020, @05:06PM

    by Bot (3902) on Monday August 03 2020, @05:06PM (#1030793) Journal

    The link parent posted checks out, in the full text you find the second part. Why has it been marked offtopic? Why nobody links the fatigue, brain fog and breathlessness to the mask + lockdown and insists only in considering the pathogen action of the virus? brain fog indeed.

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