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Post-COVID-19 illness
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==Post-viral syndrome== '''Post-viral syndrome''' or '''post-viral state''' is sometimes used to refer to symptoms that occur as a result of a virus, which take longer than a few weeks to resolve. The older term Post-infective fatigue is no longer in use. Post-viral syndrome may include [[shortness of breath]], [[fatigue]], [[Brain fog|difficulty thinking]], aches and pains, or other symptoms, and typically improves gradually over time. People who remain ill after 6 months may meet the criteria for [[postviral fatigue syndrome]] (PVFS), which is more commonly diagnosed as [[chronic fatigue syndrome]] or [[myalgic encephalomyelitis]], although it may be possible to diagnose this sooner using the [[International Consensus Criteria|international consensus criteria]].<ref name="fukuda1994" /><ref name="canadianconsensus-CCC" /><ref name="ICC2011primer" /> For most people, this is a very disabling, long-term (chronic) illness.<ref name="ns-15042020" /><ref name="openletter20042020" /><ref name="fukuda1994" /><ref name="canadianconsensus-CCC" /> Dr. [[Anthony Fauci]], the [[United States]] top [[infectious disease]] expert, acknowledged that many unrecovered [[COVID-19]] patients may have [[Myalgic encephalomyelitis|ME]], also known as [[chronic fatigue syndrome]], or [[ME/CFS]].<ref name="STAT21Jul2020">{{Cite web|url=https://www.statnews.com/2020/07/21/chronic-fatigue-syndrome-keys-understanding-post-covid-syndrome/| title = Post-Covid syndrome prompts new look at chronic fatigue syndrome | date = 2020-07-21 | website = STAT|language=en-US|access-date=2020-07-21}}</ref><ref name="CNN9Jul2020">{{Cite news | url=https://edition.cnn.com/world/live-news/coronavirus-pandemic-07-09-20-intl/h_5125152a01f8c98d362cf15d6860ab37| title = Coronavirus may cause fatigue syndrome, Fauci says | last = Berlinger | first=Joshua | first2 = Brett | last2 = McKeehan | first3 = Ivana | last3 = Kottasová | first4 = Ed | last4 = Upright | first5 = Meg | last5 = Wagner | first6 = Melissa | last6 = Macaya | date = 2020-07-09 | website = CNN|language=en|access-date=2020-07-21 | authorlink = | authorlink2 = |archive-url=|archive-date=|url-status=|work=|quote=}}</ref> Dr. Fauci stated: “There may well be a post-viral syndrome associated with Covid-19,...If you look anecdotally, there is no question that there are a considerable number of individuals who have a post-viral syndrome that in many respects incapacitates them for weeks and weeks following so-called recovery,”<ref name="CNN9Jul2020" /> At the International AIDS conference, Fauci stated: "Brain fog, fatigue, and difficulty in concentrating. So this is something we really need to seriously look at because it very well might be a post-viral syndrome associated with COVID-19.<ref name="FauciAIDSConf2020">https://www.youtube.com/watch?v=UMmT48IC0us</ref> An internist at Texas Health Presbyterian Hospital, Dr. Donna Casey, said “We can now see documented abnormalities in your [[nervous system]], [[immune system|immune]], and [[metabolic]] systems. So we’re seeing abnormalities in all three that create [[myalgic encephalomyelitis]].”<ref name="IB17Jul2020">{{Cite web|url=https://www.ibtimes.com/fauci-warns-post-viral-syndrome-among-covid-19-patients-causes-fatigue-brain-fog-3012876| title = Fauci Warns Of 'Post-Viral Syndrome' Among COVID-19 Patients That Causes Fatigue, Brain Fog After Recovery | last = Ramaswamy | first = Divya | date = 2020-07-17 | website = International Business Times|access-date=2020-07-21}}</ref> Dr. Casey did say that we are not at the six month mark<ref>{{Cite web|url=https://www.cdc.gov/me-cfs/healthcare-providers/diagnosis/iom-2015-diagnostic-criteria.html| title = IOM 2015 Diagnostic Criteria {{!}} Diagnosis {{!}} Healthcare Providers {{!}} Myalgic Encephalomyelitis/Chronic Fatigue Syndrome | date = 2019-11-19 | website = [[Centers for Disease Control and Prevention]]|language=en-us|access-date=2020-07-21}}</ref><ref>{{Cite web|url=https://www.nap.edu/resource/19012/MECFS_DiagnosticAlgorithm.jpg| title = Diagnostic Algorithm for ME/CFS | last = | first = | authorlink = | date = |website=National Academy of Medicine (Formerly the Institute of Medicine)|archive-url=|archive-date=|url-status=|access-date=}}</ref> for COVID, but she does see ongoing improvement in her hospitalized patients.<ref name="IB17Jul2020" /> Dr. Amir K. Ghiassi, a pulmonologist with St. Joseph Hospital in Orange County, California said of the ongoing symptoms they were uncertain if it had to do with the virus or “because of the immune system reacting the way it does that causes symptoms.”<ref name="IB17Jul2020" />
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