{"id":155237,"date":"2023-01-31T18:56:28","date_gmt":"2023-01-31T18:56:28","guid":{"rendered":"https:\/\/tecscience.tec.mx\/en\/?p=155237"},"modified":"2024-12-10T17:42:36","modified_gmt":"2024-12-10T23:42:36","slug":"long-covid","status":"publish","type":"post","link":"https:\/\/tecscience.tec.mx\/en\/health\/long-covid\/","title":{"rendered":"From nose to brain: Long COVID, the persistent enemy\u00a0\u00a0"},"content":{"rendered":"\n<p>In June 2021, <strong>Carlos Colunga<\/strong>, a pediatric surgeon in Monterrey, contracted COVID-19. At 33 years old, he was in good health and his illness was very mild. Three weeks later, when he had already tested negative for SARS-CoV-2, a loud sound invaded his ears. The tinnitus he suffered only gave him relief when he was under the shower because the noise of the falling water was louder than the hiss he heard.&nbsp;<\/p>\n\n\n\n<p>A week later his symptoms worsened. Traveling a distance, which was not difficult for him before, made him exhausted, in addition, he felt strong palpitations in his chest and couldn\u2019t breathe. Desperate, he started looking for help. He had to consult more than five specialists to find one who finally diagnosed a probable cause: the poorly understood <strong>Long COVID or persistent COVID.<\/strong>&nbsp;<\/p>\n\n\n\n<p>\u201cIt was a very stressful and exhausting process, never in my life had I cried so much,\u201d says Carlos in an interview with <strong><em>TecScience.<\/em><\/strong>&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-is-long-covid-nbsp\"><strong>What is Long COVID?<\/strong>&nbsp;<\/h2>\n\n\n\n<p>What Carlos Colunga didn\u2019t know is that he wasn\u2019t alone, his case is one in millions.&nbsp;<\/p>\n\n\n\n<p>There is still no consensus in the scientific community on what Long COVID is \u2013also known as <strong>persistent COVID <\/strong>or <strong>post-acute COVID-19<\/strong>&#8211; nor a test or tool to diagnose it.&nbsp;<\/p>\n\n\n\n<p>Nevertheless, the World Health Organization (WHO) defines it as a set of prolonged symptoms that some people show after getting infected with COVID. <a href=\"https:\/\/www.nature.com\/articles\/s41579-022-00846-2\" target=\"_blank\" rel=\"noreferrer noopener\">A review published in the journal <em>Nature<\/em><\/a> estimates that around 65 million people around the world suffer from it, out of a total of 670 million registered cases of SARS-CoV-2, that is, 10% of the population that was infected.&nbsp;<\/p>\n\n\n\n<p>In Mexico, data is limited. <a href=\"https:\/\/tecmx-my.sharepoint.com\/:w:\/g\/personal\/ines_gutierrez_jaber_tec_mx\/EVBq4hmHsStDjCdVggA2nzYB67PGbuRHaroCoag_UOfdlA?e=8cqKvc\" target=\"_blank\" rel=\"noreferrer noopener\">An analysis of 50 cases<\/a>, carried out by Hospital \u00c1ngeles Puebla in 2020, found that <strong>84% of them presented persistent symptoms after recovering from the initial illness.<\/strong>&nbsp;<\/p>\n\n\n\n<p>\u201cThere are more questions than answers,\u201d says <strong>Paola Reynoso Lobo<\/strong>, Leader of Public Health Projects and professor at the School of Medicine and Health Sciences at Tecnol\u00f3gico de Monterrey.&nbsp;<\/p>\n\n\n\n<p>WHO has created a list of <strong>more than 200 symptoms associated with this condition<\/strong>.&nbsp;<\/p>\n\n\n\n<p>\u201cThe most common ones are fatigue, shortness of breath, mental fog, palpitations, and headaches,\u201d explains Reynoso. Others include loss of taste and smell, persistent cough, diarrhea, trouble sleeping, dizziness, muscle pain, and <strong>rashes.&nbsp;<\/strong><\/p>\n\n\n<div class=\"flourish-embed flourish-chart\" data-src=\"visualisation\/15361169\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-neurological-and-emotional-symptoms-nbsp\"><strong>Neurological and emotional symptoms<\/strong>&nbsp;<\/h2>\n\n\n\n<p>Sara\u2019s experience \u2013a 68 years old patient who asked to give her a pseudonym\u2013 was in pain, sad, and frustrated. \u201cI started having <strong>panic attacks<\/strong>, feeling like going out on the streets to scream,\u201d she recalls.&nbsp;<\/p>\n\n\n\n<p>In March 2021, Sara was infected with COVID-19. Like Carlos, the initial illness was mild, with a sore throat, runny nose, and fever. She recovered and within two weeks she began to experience <strong>headaches so severe that they woke her up at nights. <\/strong>In addition, she had fatigue, anxiety, and depression.&nbsp;<\/p>\n\n\n\n<p>The outlook did not look good for Sara. \u201cI had a lot of anguish, I hardly slept,\u201d she says.&nbsp;<\/p>\n\n\n\n<p>The most difficult symptoms to live with and understand for those with Long COVID are those related to our <strong>brains <\/strong>and <strong>emotions<\/strong>. Many report memory problems, insomnia, difficulty concentrating, balance problems, dizziness, light sensitivity, slurred speech, anxiety, and depression.&nbsp;<\/p>\n\n\n\n<p>According to <strong>H\u00e9ctor Ram\u00f3n Mart\u00ednez Rodr\u00edguez<\/strong>, researcher and neurologist, director of the Institute of Neurology and Neurosurgery at the <strong>Zambrano Hellion Hospital<\/strong>, up to \u201c82% of patients hospitalized for COVID-19 show neurological and neuropsychiatric symptoms, during the event and months after.\u201d&nbsp;<\/p>\n\n\n\n<p>Among these ailments, there is <strong>brain fog<\/strong>. This is characterized by a state of <strong>confusion, forgetfulness, lack of concentration<\/strong>, and no <strong>mental clarity.<\/strong> Many times, it can feel like the effects of stress or lack of sleep.&nbsp;<\/p>\n\n\n\n<p>Scientific research has found that <a href=\"https:\/\/tecmx-my.sharepoint.com\/:w:\/g\/personal\/ines_gutierrez_jaber_tec_mx\/EVBq4hmHsStDjCdVggA2nzYB67PGbuRHaroCoag_UOfdlA?e=8cqKvc\" target=\"_blank\" rel=\"noreferrer noopener\">up to 40%<\/a> of people who experience Long COVID have at least one of the symptoms of brain fog at some point.&nbsp;<\/p>\n\n\n\n<p>For those who have suffered it, the frustration can be even greater as people around them may think they are lying or making it up, simply because they don\u2019t want to go to work.&nbsp;<\/p>\n\n\n\n<p>Some patients have reported having health professionals dismiss them. Experts Mart\u00ednez Rodr\u00edguez and Reynoso Lobo explain that brain fog can be incapacitating, and it would be unusual for people to fake it.&nbsp;<\/p>\n\n\n\n<p>The reasons why Long COVID can cause these emotions are still unknown. However, neurologist H\u00e9ctor Mart\u00ednez suggests that one of the causes could be due to the direct invasion of the SARS-CoV-2 virus in the brain.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><picture>\r\n                <source srcset=\"https:\/\/tecdemty.wpengine.com\/en\/wp-content\/uploads\/sites\/9\/2023\/01\/long-covid-3-455x1024.webp\" type=\"image\/webp\">\r\n                <img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/tecdemty.wpengine.com\/en\/wp-content\/uploads\/sites\/9\/2023\/01\/long-covid-3-455x1024.png\" alt=\"\" class=\"wp-image-155378\" style=\"width:522px;height:1175px\" width=\"522\" height=\"1175\" srcset=\"https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2023\/01\/long-covid-3-455x1024.png 455w, https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2023\/01\/long-covid-3-133x300.png 133w, https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2023\/01\/long-covid-3-768x1730.png 768w, https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2023\/01\/long-covid-3-682x1536.png 682w, https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2023\/01\/long-covid-3-909x2048.png 909w\" sizes=\"(max-width: 522px) 100vw, 522px\" \/>\r\n            <\/picture><figcaption class=\"wp-element-caption\">Infographics Design: Tavo Monta\u00f1ez<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-a-social-media-support-group-nbsp\"><strong>A social media support group<\/strong>&nbsp;<\/h2>\n\n\n\n<p>In 2021, when more Long COVID cases were being reported, at TecSalud&#8217;s Zambrano Heli\u00f3n Hospital, a team led by Paola Reynoso began to investigate what could be done to help.&nbsp;<\/p>\n\n\n\n<p>They found that many people who believed they were living with Long COVID had begun organizing themselves through <strong>social media<\/strong> to share scientific information about the condition, and give each other advice and encouragement.&nbsp;<\/p>\n\n\n\n<p>They discovered that a common denominator in these groups was that people felt little understood by health professionals. \u201cThey couldn&#8217;t find answers and were even being invalidated, with them saying that \u2212surely\u2212 it was some other condition or that perhaps they were making it up,\u201d says Reynoso Lobo.&nbsp;<\/p>\n\n\n\n<p>To contribute, the researcher and her team created a <a href=\"https:\/\/www.facebook.com\/groups\/longcovid.tecsalud\/?_rdr\" target=\"_blank\" rel=\"noreferrer noopener\">virtual support group,<\/a> in which they offer sessions with health experts, such as neurologists, cardiologists, psychologists, nutritionists, psychiatrists, otolaryngologist, or infectologists.&nbsp;<\/p>\n\n\n\n<p>The idea was to create a space where people could feel accompanied and obtain information and recommendations based on scientific evidence. Restorative yoga or meditation classes have also been taught in the sessions. The group is on Facebook and is open to the public.&nbsp;<\/p>\n\n\n\n<p>For Carlos Colunga, the help the group has given him is invaluable. \u201cI think that what it contributes the most is that it\u2019s a space where people realize <strong>they aren\u2019t alone<\/strong>,\u201d he reflects.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><picture>\r\n                <source srcset=\"https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2023\/03\/long-covid-4-1024x645.webp\" type=\"image\/webp\">\r\n                <img decoding=\"async\" width=\"1024\" height=\"645\" src=\"https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2023\/03\/long-covid-4-1024x645.jpg\" alt=\"\" class=\"wp-image-156454\" srcset=\"https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2023\/03\/long-covid-4-1024x645.jpg 1024w, https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2023\/03\/long-covid-4-300x189.jpg 300w, https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2023\/03\/long-covid-4-768x484.jpg 768w, https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2023\/03\/long-covid-4-1536x968.jpg 1536w, https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2023\/03\/long-covid-4.jpg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\r\n            <\/picture><figcaption class=\"wp-element-caption\">Infographics Design:  Tavo Monta\u00f1ez<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-personalized-treatments-nbsp\"><strong>Personalized treatments<\/strong>&nbsp;<\/h2>\n\n\n\n<p>It is difficult to know for sure that someone has Long COVID. Because this is a new and unknown condition, doctors are still learning and are sometimes <strong>afraid to diagnose their patients<\/strong>, for fear of losing their good reputation or mistakenly diagnosing someone.&nbsp;<\/p>\n\n\n\n<p>Fortunately, more and more experts are now open to the idea. The treatment given to patients depends on the symptoms they present. \u201cThere is no textbook approach, rather, depending on what the patient is showing, an <strong>individualized treatment<\/strong> plan is made,\u201d explains Reynoso Lobo.&nbsp;<\/p>\n\n\n\n<p>Mart\u00ednez Rodr\u00edguez and Reynoso Lobo advise that people who believe they might have Long COVID should approach their family doctor for an initial evaluation so they can refer them to a specialist, depending on the severity of their symptoms.&nbsp;<\/p>\n\n\n\n<p>Carlos and Sara both had personalized treatments. He was given a serie of medications and Sara began taking therapy, exercising, and meditating.&nbsp;<\/p>\n\n\n\n<p>Carlos has less and less tinnitus and fatigue, while Sara has regained her mental health and her headaches have been significantly reduced. \u201cI think that we are all going to get better,\u201d says Sara.&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>To this day, there is no test to diagnose someone with Long COVID. There is also no consensus on what it really is. However, it is estimated that 65 million people worldwide suffer from it.<\/p>\n","protected":false},"author":12,"featured_media":155239,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_eb_attr":"","footnotes":""},"categories":[86],"tags":[195,169,124,224,138],"class_list":["post-155237","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","tag-amateur-science","tag-covid-19","tag-feature","tag-health","tag-school-of-medicine-and-health-sciences"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.0 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>From nose to the brain: Long COVID, the enemy\u00a0\u00a0| TecScience<\/title>\n<meta name=\"description\" content=\"To this day, there is no test to diagnose someone with Long COVID. 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However, it is estimated that 65 million people worldwide suffer from it.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/tecscience.tec.mx\/en\/health\/long-covid\/\" \/>\n<meta property=\"og:site_name\" content=\"TecScience\" \/>\n<meta property=\"article:published_time\" content=\"2023-01-31T18:56:28+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-12-10T23:42:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2023\/01\/long-covid.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1615\" \/>\n\t<meta property=\"og:image:height\" content=\"1124\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"In\u00e9s Guti\u00e9rrez Jaber\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"In\u00e9s Guti\u00e9rrez Jaber\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/health\\\/long-covid\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/health\\\/long-covid\\\/\"},\"author\":{\"name\":\"In\u00e9s Guti\u00e9rrez Jaber\",\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/#\\\/schema\\\/person\\\/72a3b50d0dbd7d1124452069e14a2db9\"},\"headline\":\"From nose to brain: Long COVID, the persistent enemy\u00a0\u00a0\",\"datePublished\":\"2023-01-31T18:56:28+00:00\",\"dateModified\":\"2024-12-10T23:42:36+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/health\\\/long-covid\\\/\"},\"wordCount\":1204,\"publisher\":{\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/health\\\/long-covid\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/wp-content\\\/uploads\\\/sites\\\/9\\\/2023\\\/01\\\/long-covid.jpg\",\"keywords\":[\"Amateur Science\",\"Covid-19\",\"Feature\",\"Health\",\"School of Medicine and Health Sciences\"],\"articleSection\":[\"Health\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/health\\\/long-covid\\\/\",\"url\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/health\\\/long-covid\\\/\",\"name\":\"From nose to the brain: Long COVID, the enemy\u00a0\u00a0| TecScience\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/health\\\/long-covid\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/health\\\/long-covid\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/wp-content\\\/uploads\\\/sites\\\/9\\\/2023\\\/01\\\/long-covid.jpg\",\"datePublished\":\"2023-01-31T18:56:28+00:00\",\"dateModified\":\"2024-12-10T23:42:36+00:00\",\"description\":\"To this day, there is no test to diagnose someone with Long COVID. 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