Dtsch Med Wochenschr 2021; 146(21): 1399-1404
DOI: 10.1055/a-1492-8808
Dossier

Post-COVID und die Lunge

Post-COVID sequela of the lung – follow up and treatment
Christian Gogoll
,
Fabian Leo
,
Per Otto Schueller
,
Christian Grohé

Die Lungen sind bei einer SARS-CoV-2-Infektion im akuten Verlauf am schwersten betroffen – über die Langzeitfolgen ist jedoch wenig bekannt. Dyspnoe, Insomnie, Husten sowie Fatigue sind bekannte Beschwerden. Mittlerweile liegt die S1-Leitlinie zum Post-COVID-Syndrom vor [1]. Dieser Beitrag beleuchtet die wichtigsten Fragen bzgl. der Diagnostik, Therapie und Rehabilitation bei Post-COVID-Syndrom.

Abstract

Most people recover completely after an acute infection with the novel corona virus SARS-CoV2. But some people continue to experience symptoms after their recovery. This phenomenon is called post-acute or long-COVID (from week 4 after the infection up to week 12) and persistent post-COVID (symptoms for effects that persist 12 or more weeks after onset). The exact processes that cause long COVID remain unknown.

Most of those patients suffer from long-term symptoms of lung damage, including breathlessness, coughing, fatigue and limited ability to exercise. Today, 18 months after the first infections in Europe we have access to the first practical guidelines for the long-/post-COVID syndrome. Further on first prospective studies analysing the incidence of post-COVID are now available.

In this review we will discuss some questions about treatment and follow up of patients suffering from pulmonary sequelae after their COVID-19 infection, based on the actual literature.



Publication History

Article published online:
20 October 2021

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