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Discussion - NcoV 2019 Potential Myocarditis and Sudden Falls - pericardial endocarditis and pericardial effusion.

kiwibird

kiwibird

Editor, Senior Moderator
Originally posted by Shiloh
View Post
Source: http://www.bjnews.com.cn/news/2020/01/22/678104.html

2020-01-22 20:33:20 Beijing News Reporter: Xu Wen Editor: Li Guojun
New pneumonia patient dies in South China market

According to a nearby shop owner, Xiong Yijun often travels to the western part of the market because of business, which may be an important reason for his infection.

Beijing News (Reporter Xu Wen) As of 24:00 on January 21, nine patients with new coronavirus died in the epidemic. The reporter was informed that Xiong Moumou, the second official reported death in the epidemic, was the owner of a seafood store in the South China Seafood Market during his lifetime.


Liu Chang (a pseudonym), owner of a battery car repair shop near the South China Seafood Market, told reporters that Xiong Yijun (a pseudonym) 's store is located at No. 6, Sixth Street, East District, which mainly specializes in shrimps. Because of business, Xiong Yijun often went to the western part of the market. Liu Chang believed that this was an important reason for his infection. In his observation, the western part of the South China market was the hardest hit area of ​​the pneumonia epidemic. "80% of the illnesses are in the western part."


Xiong Yijun (pseudonym) played chess every morning in the alleys and neighborhoods on the north side of the eastern part of the South China Seafood Market. Photo by Beijing News reporter Xu Wen

...


According to Liu Chang, Xiong Yijun has three daughters who all do business in the South China market. One of them is a member of the South China Market Shrimp Association. After Xiong Yijun's death, the three daughters returned to the market, but have not seen each other since. He speculated that the daughter may have been isolated.


In Liu Chang's memory, Xiong Yijun was not tall, looked quite lean, and spoke loudly. His sudden death surprised Liu Chang.


According to the official report, the deceased Xiong Moumou, male, 69 years old, became ill on December 31, 2019, and became worse on January 4, 2020, and was transferred to Wuhan Jinyintan Hospital for treatment. He was admitted with severe myocarditis (myocardial enzymes reached normal) 20 times the value, abnormal ECG); abnormal renal function; severe damage to multiple organ functions; chest CT showed pulmonary fibrous lesions, pleural effusion, and pleural thickening. Considering tuberculosis and pleural tuberculosis, at 15: 00 on January 15 Death due to ineffective rescue.


Beijing News reporter Xu Wen

Editing Li Guojun Proofreading Li Lijun
Warning about this post. The photo shows two people lying on the ground. https://mobile.twitter.com/hanrongli...03762371301376 Google translated caption states: "
New coronavirus (2019-nCoV) #Wuhan pneumonia Two corpses wearing CCP uniforms lie on the street, and they are also physical bodies! Viruses are not classified, do n’t go crazy Sick, two corpses wearing CCP uniforms Wuhan virus can invade the heart and cause viral myocarditis. Due to the painless heart, it directly caused sudden death. Now there are people all over the country who suddenly fall on the street and are not counted as Wuhan pneumonia"

Perhaps we should start a thread looking at viral myocarditis related to the NcoV?
 
Last edited:
From Tetanos compilation

"Right ventricular (RV) dilatation (50-80%) and at least moderate systolic impairment (23%) were common".

This is something that can easily be checked?? Perhaps at home by people feeling fatigued. It would be good if people could get some warning. The extracorporeal ventilation is no use in these cases.

There is also another excellent body of work about young athletes who were also lost in a similar fashion. I am afraid I cannot find it at the moment. I do remember that the conclusion reached was that you should not exercise if your resting heart rate was ten beats per minute faster than normal resting heart rate. This is also something that can easily be checked - as long as you are aware of it.

Found it here - https://flutrackers.com/forum/forum...h-pandemic-h1n1-influenza-a-virus-in-children
 
http://www.mychinanews.com/news/n/1/2413912
"....
First of all, new coronary pneumonia is not the same as SARS or avian influenza. In many cases, SARS is very severe when the patient comes up. However, the early onset of new crown patients is not very dangerous, but in the later period, there will be an acceleration, and the patient will soon enter a state of multiple organ failure, which will be a storm of inflammation. Once in this state, it is difficult for our treatment to pull it back. This is completely different from the past. Many patients do not die from the lungs. Because the hospital has ECMO (Extracorporeal Cardiopulmonary Support), a ventilator, and various treatment strategies, which can replace the patient's lung function. But many patients die of multiple organ failure outside the lungs, which is very different from the past.

Why is there such a sudden acceleration?

Zhong Ming said that the patient's body may have initiated an inflammatory storm, which caused the failure of various organs. What they observed is that many patients have elevated markers of myocardial damage, so the virus is likely to damage the heart muscle itself, similar to myocarditis, and may damage many other organs....

However, this disease has a characteristic that some patients may be relatively mild in the first two days, and suddenly worsen on the third day or later. If it is not treated in time, it may die. This may be related to patient infection and the resulting "inflammatory storm".

"Inflammation storm" is that the patient's infection activates the body's immune cells, causing excessive damage to the immune cells. Normal immunity is protection, and excessive immunity is damage, which not only causes damage to the lungs, but also causes damage to the kidneys, liver, and heart muscle.

For example, after our body is infected, the body's white blood cells and lymphocytes will start secreting a cytokine. The cytokine acts like a correspondent or herald, attracting these spare white blood cells and lymphocytes distributed in other parts of the muscle to the lesion site, killing the microbial virus and bacteria. In the middle, it will release an inflammatory mediator. Moderate release is normal. Excessive release will not only kill viruses and bacteria, but also cause damage to normal cells.

Zhou Zheng said that after the "inflammatory storm", the patient's condition tends to turn sharply, and soon he will have unconsciousness, rapid breathing, and then there will be decreased blood oxygen saturation, even coagulation dysfunction, oliguria and anuria, and elevated transaminase . Various organs fail, not just the lungs, which is the reason for the high mortality and mortality of many patients with new coronary pneumonia, especially the elderly.
...Zhou Zheng said that in a certain period of time, a small amount of hormones can be used to suppress this inflammatory response, but this varies from person to person.."...snip

I will try and find out what this means... "a small amount of hormones can be used to suppress this inflammatory response.." Does anyone else know?
 
Last edited:
Source: https://news.sina.com.cn/c/2020-02-08/doc-iimxyqvz1341033.shtml

i Wenliang's serious cause is still a mystery, alert to "cytokine storm"


Sugawara Title: Li Wenliang's Severe Cause Is Still a Mystery, Beware of "Cytokine Storm"

Some clinicians have stated that the virus may damage the body's immune mechanism, triggering "over-immunity", thereby causing damage to human organs and even causing failure.

The death of Dr. Wenli Li, a 34-year-old "anti-epidemic hero", sighed with regret. Although Dr. Li Wenliang's case history has not been officially disclosed, more and more young critically ill patients and critically ill patients whose conditions have deteriorated rapidly The reason has also attracted great attention from experts, who have begun to wonder whether the new coronavirus can cause other muscle failures in the human body.

Young deaths are not accidental

From the early clinical case analysis of the new coronavirus, the severe and fatal cases are mainly in the elderly population. In a recent paper published by the authoritative medical journal "The Lancet" on January 29, the clinical characteristics of 99 earliest patients infected with the new coronavirus pneumonia treated by Wuhan Jinyintan Hospital from January 1 to January 20 were analyzed. It was found that the median age of patients was 55.5 years, and older men with complications were more susceptible to new pneumonia; only under 10% of patients were under 40 years of age, and half of the patients had chronic diseases such as cardiovascular, cerebrovascular, and diabetes.

Although with the development of the epidemic and the surge in the number of cases, more research reports on clinical case analysis have been released, the conclusions are basically consistent with the analysis of early cases, that is, the older the person, the greater the probability of severe illness.

But Li Wenliang is only 34 years old. Why did such a young life suddenly turn into a dying condition in the short term? This issue has aroused the attention of many people.

According to Li Wenliang's self-exposed medical history, he had suspected symptoms from January 10, was hospitalized on January 12, and was diagnosed on February 1. He also tweeted in early February, telling everyone not to worry, he will actively cooperate with the treatment and strive to be discharged early. However, on the evening of February 6, there was a sudden news that Li Wenliang's condition had deteriorated and he was rescued in the ICU. The next morning, Wuhan Central Hospital declared Li Wenliang's death.

的 The deaths of young people like Li Wenliang are not unusual. The first fatal case in Hong Kong on February 4 was also a 39-year-old male patient who died of a cardiac arrest, but the patient stated before admission that he had no history of heart disease. According to information released by the Philippine Ministry of Health, a 44-year-old male died in the Philippines on February 1, becoming the first death case outside China. The deceased was from Wuhan and died of a severe pulmonary infection.

In China, because the patient's case history has not been disclosed to the public, it is not yet possible to know the true cause of the patient's death. However, according to the The Lancet's paper on January 29, in early 99 cases, 17 patients developed acute respiratory distress syndrome (ARDS), including 11 patients who died. Deterioration occurs in the short term, and eventually multiple organ failure causes death.

Immune cell explosion damages human body

Some clinicians have stated that the virus may damage the body's immune mechanism, triggering "over-immunity", thereby causing damage to human organs and even causing failure.

According to "Qianjiang Evening News" interview with Sheng Jifang, director of the Department of Infectious Diseases, the First Affiliated Hospital of Zhejiang University Medical College, she said: "Some patients' disease progresses rapidly, probably due to the second inflammatory factor storm." During the test, it was found that the inflammatory factors were high in some critically ill patients. "The target organ of the inflammatory factor storm is the lung, and inflammatory factors in the lung are exuded at once. If there is no corresponding respiratory support, the mortality rate will be very high.

Ji Shengjifang's speculation aroused attention to the "inflammatory storm". Normal immunity can protect the human body, but excessive immune production will damage the human body, that is, immune cells T cells attack themselves, which will damage various organs of the human body, such as the heart muscle, kidneys and liver.

Xi Shengjifang said that the "inflammatory factors" ooze in large quantities and form "storms", which are academically called "cytokine storm syndrome" (CSS). CSS is a serious life-threatening disease, marked by an uncontrolled and dysfunctional immune response, involving the continuous activation and expansion of lymphocytes and macrophages, which secrete a large number of cytokines, leading to "cells Factor Storm. " The clinical features are systemic inflammation, hyperferritinemia, hemodynamic instability, and multiple organ failure (MOF), with extremely high lethality.

Once the "cytokine storm syndrome" occurs, the patient's condition will deteriorate rapidly, such as increased breathing, decreased blood oxygen saturation, and even coagulation dysfunction, and all organs will fail, not just the lungs.

"The phenomenon of 'factor storms' is very worthy of attention, this may be the direct cause of death." A researcher at the Center for Biological and Chemical Interdisciplinary Research of the Chinese Academy of Sciences told First Financial News.

Pathogenesis of prions remains to be studied

“Since the outbreak of the SARS virus, the" cytokine storm syndrome "has attracted much attention. Records show that during the SARS virus outbreak, mortality due to organ dysfunction due to CSS was extremely high. During the subsequent H7N9 and H5N1 virus outbreaks, there were also deaths caused by CSS to varying degrees.

According to an article titled "Cytokine Storm: The Master of Life in Acute Respiratory Distress Syndrome" published in the Chinese Science Core Journal "Life Science" in May 2015, from the Medical Molecules of the Chinese Academy of Medical Sciences The authors of the State Key Laboratory of Biology pointed out: "The cause of acute respiratory distress syndrome (ARDS) is diffuse injury of pulmonary capillary endothelial cells and alveolar epithelial cells due to cytokine storms."

The article also pointed out that a variety of viral infections, such as SARS coronavirus, 2009 H1N1 influenza virus, avian influenza virus, and certain nanomaterials, can cause cytokine storms, and then cause ARDS.

In addition, a large number of studies have found a new type of coronavirus infection mechanism. The virus's S-protein binds to human surface cells with ACE2 protein to infect the human respiratory tract. Therefore, there are also opinions that ACE2 protein acts as a receptor for new coronavirus It is also highly expressed in the heart and kidneys and may attack these organs.

A former Chinese Academy of Sciences Shanghai Pasteur virus immunology researcher told First Financial reporter: "Now the detection methods are relatively mature. However, the mechanism of how the virus causes severe illness is not very clear, and various hypotheses need further verification. . "

Professor Ge Junbo, Academician of Chinese Academy of Sciences and Department of Cardiology, Zhongshan Hospital Affiliated to Fudan University, also expressed concerns about complications caused by the virus such as acute myocarditis in a letter to students on February 7. Academician Ge Junbo pointed out: "In the beginning, everyone thought that experts from the respiratory department and the critical care department came first. Now it seems that the number of deaths has increased and the condition has deteriorated sharply. I consider that since it is a viral infection, then whether these patients have explosive myocarditis or What is the pathology of 'heartbreak syndrome' that causes patients with circulatory failure?
 
kiwibird said:
http://www.mychinanews.com/news/n/1/2413912
"....
First of all, new coronary pneumonia is not the same as SARS or avian influenza. In many cases, SARS is very severe when the patient comes up. However, the early onset of new crown patients is not very dangerous, but in the later period, there will be an acceleration, and the patient will soon enter a state of multiple organ failure, which will be a storm of inflammation. Once in this state, it is difficult for our treatment to pull it back. This is completely different from the past. Many patients do not die from the lungs. Because the hospital has ECMO (Extracorporeal Cardiopulmonary Support), a ventilator, and various treatment strategies, which can replace the patient's lung function. But many patients die of multiple organ failure outside the lungs, which is very different from the past.

Why is there such a sudden acceleration?

Zhong Ming said that the patient's body may have initiated an inflammatory storm, which caused the failure of various organs. What they observed is that many patients have elevated markers of myocardial damage, so the virus is likely to damage the heart muscle itself, similar to myocarditis, and may damage many other organs....

However, this disease has a characteristic that some patients may be relatively mild in the first two days, and suddenly worsen on the third day or later. If it is not treated in time, it may die. This may be related to patient infection and the resulting "inflammatory storm".

"Inflammation storm" is that the patient's infection activates the body's immune cells, causing excessive damage to the immune cells. Normal immunity is protection, and excessive immunity is damage, which not only causes damage to the lungs, but also causes damage to the kidneys, liver, and heart muscle.

For example, after our body is infected, the body's white blood cells and lymphocytes will start secreting a cytokine. The cytokine acts like a correspondent or herald, attracting these spare white blood cells and lymphocytes distributed in other parts of the muscle to the lesion site, killing the microbial virus and bacteria. In the middle, it will release an inflammatory mediator. Moderate release is normal. Excessive release will not only kill viruses and bacteria, but also cause damage to normal cells.

Zhou Zheng said that after the "inflammatory storm", the patient's condition tends to turn sharply, and soon he will have unconsciousness, rapid breathing, and then there will be decreased blood oxygen saturation, even coagulation dysfunction, oliguria and anuria, and elevated transaminase . Various organs fail, not just the lungs, which is the reason for the high mortality and mortality of many patients with new coronary pneumonia, especially the elderly.
...Zhou Zheng said that in a certain period of time, a small amount of hormones can be used to suppress this inflammatory response, but this varies from person to person.."...snip

I will try and find out what this means... "a small amount of hormones can be used to suppress this inflammatory response.." Does anyone else know?
Click to expand...

“Hormones” may refer to use of steroids like prednisone to help decrease immune system response where the response is causing the issues.
 
From CFR Discussion Thread

Originally posted by Pathfinder View Post
Translation Google

Wuhan pneumonia death rate lower than SARS? Virus Expert: Not necessarily

A new coronavirus from Wuhan, China triggered a global panic. The previous news was that although the virus is highly contagious, the fatality rate is not as high as SARS in 2003. Domestic virus expert Su Yiren said that it is still too early to talk about the fatality rate. According to the data, the fatality rate of the new Wuhan virus is not necessarily lower than that of SARS.
........

Su Yiren also mentioned a special situation, saying that the SARS epidemic that year was high in Taiwan, but the mortality rate was high. Like in Vietnam at the time, patients were placed in a ventilated place and were not actively treated. The mortality rate was actually low. It was believed that steroids were given to patients in Taiwan at the time to rescue pulmonary fibrosis, but their immunity was reduced. At the same time, living in intensive care units also increased the risk of bacterial infection. Many patients died of infected sepsis. How to treat Wuhan pneumonia in the future needs to be discussed .

https://health.udn.com/health/story/120951/4318076
Click to expand...

This thread https://flutrackers.com/forum/forum/...d-relationship discusses this - including this post from AlaskaDenise "Steroids

Corticosteroid medications such as prednisone, often prescribed to reduce inflammation, can reduce calcium absorption [77-79] and impair vitamin D metabolism. These effects can further contribute to the loss of bone and the development of osteoporosis associated with their long-term use [78-79]" from this paper http://ods.od.nih.gov/factsheets/vitamind.asp#h7
Click to expand...



And from todays Taiwan News.
https://www.taiwannews.com.tw/en/news/3876197
TAIPEI (Taiwan News) — It’s possible to get infected by the novel coronavirus (COVID-19) a second time, according to doctors on the frontline in China’s city of Wuhan, leading to death from heart failure in some cases.

The claim is made by doctors working in the Hubei Province capital that is at the center of the epidemic, which has to date infected 64,201 people and killed 1,487. One of the doctors reached out to a relative living in the United Kingdom, who then informed Taiwan News.

Both the relative and doctors asked to remain anonymous, out of consideration they might face retribution from the Chinese authorities. The doctor, Li Wenliang (李文亮), who first raised warnings about the Wuhan virus, was rebuked by the authorities before succumbing to the devastating disease himself earlier this month.

According to the message forwarded to Taiwan News, “It’s highly possible to get infected a second time. A few people recovered from the first time by their own immune system, but the meds they use are damaging their heart tissue, and when they get it the second time, the antibody doesn’t help but makes it worse, and they die a sudden death from heart failure.”

The source also said the virus has “outsmarted all of us,” as it can hide symptoms for up to 24 days. This assertion has been made independently elsewhere, with Chinese pulmonologist Zhong Nanshan (鍾南山) saying the average incubation period is three days, but it can take as little as one day and up to 24 days to develop symptoms.

Also, the source said that false negative tests for the virus are fairly common. “It can fool the test kit – there were cases that they found, the CT scan shows both lungs are fully infected but the test came back negative four times. The fifth test came back positive.”

According to the BBC and other media outlets, some laboratory tests are incorrectly telling people they are virus-free. There is also anecdotal evidence of people having up to six negative results before being diagnosed correctly.

Dr. Li Wenliang first raised concerns about this. His own test results had come back negative multiple times before he was finally diagnosed.

False negative tests raise question marks over how many people have the Wuhan coronavirus, with many believing the Chinese authorities have massively underreported the number of cases and deaths. Meanwhile, the official methodology for diagnosing the virus in China was changed this week, leading to a sudden leap in the number of recorded cases and deaths.
Click to expand...
 
http://www.mychinanews.com/news/n/1/2418096
(Original title: It ’s so good to live! On the 10th day of hospitalization, the virus made a second counterattack, and I waited for the old bus ...
Drifting (a pseudonym) is an emergency physician at the Eighth Hospital of Wuhan.

On February 16th, she was discharged home for the sixth day. Half a month ago, she thought she would never return.

From illness to crisis, to recovery, she spent 20 unforgettable days. "The condition develops faster than expected."

As a medical staff, she would like to use her own experience to remind all patients who are being treated. The clinical manifestations of new coronary pneumonia are diverse, different in severity, and the condition changes rapidly. Sometimes it is a few hours. Is the key. Especially when there is any discomfort in the body, do not bear it. You must inform the doctor at the first time, this is likely to be the key point in deciding life or death.

The following is the dictation of Drifting (net name):

For a few hours, I never had symptoms and could not walk

I have been sitting there since the emergency department changed to a fever clinic.

On the morning of January 23, I took my temperature as usual: normal, rushed to the hospital after eating a bowl of egg noodles. That day, there were still many patients.

At 9 am, I was notified by the hospital, so let's take the time to do a CT examination. I usually have a fitness habit. My body has always been very good. My colleagues have called me "Iron Man", but I still took CT as required.

"There are problems with the film, 4 places!" After getting the CT result, I was a little bit puzzled in my heart, and started to think about when I was in the middle.

I have taken my temperature every morning since my hot clinic was posted. On the 22nd, there were a lot of patients. Although they were called, the patients and their family members had several people in the consultation room, and they were in front of me.
...snip

I don't have a fever, and I don't have any symptoms. I should be in the early stages. I should go home and take medicine for isolation. I should be able to get well soon. I quickly made a diagnosis to myself.

I went to the pharmacy and took moxifloxacin, oseltamivir, abidol tablets, and lotus clear pest capsules, and returned to the office to pack and go home. I felt my head was a bit hot. I took out a thermometer: 38.7 ℃ and I had a fever. I decided to go home immediately.

The home is only five or six minutes walk from the hospital. When I got home, I was going to take a bath and then sleep. Before I got into the bathroom, I started having severe headaches and vomiting. "I heard that you were successful?" My brother called. "There are problems with CT shooting, people are a bit uncomfortable, so I won't tell you first." At this time, I had no strength to take a cell phone, and just wanted to hurry up.

My husband went back to my hometown, and I was the only one in the family. At this point, my body was extremely weak. The condition developed so fast that I didn't expect it. I had to go to the hospital right away. The director of the department called in. He was infected a week earlier than me, and said he knew my condition, and immediately sent someone to the community gate to pick me up.

From home to the gate of the community, it usually only takes two or three minutes, and I walked for more than 20 minutes that day. For the first time, I felt that the road was so difficult and long, if only I could carry it on my back. A doctor and 2 nurses in the emergency medical department were already waiting at the door. They pushed me to the hospital with a flat car.
Burned out, I thought the condition was getting better

I was admitted to the hospital. Waking up again, it was already the next afternoon, and I had a high fever day and night.

After treatment, his temperature dropped quickly. During my stay in the eighth hospital of the city, my body temperature was high and low, and I kept sweating. I had to change several sets of underwear a day. The most uncomfortable thing was headache and fatigue. The nurse came to give me an injection. I didn't even have the strength to raise my hand. She had no appetite, and only 2-3 porridges were eaten for 5 days in hospital.

On the fifth day, the result of the nucleic acid test came out: positive, I was diagnosed with new coronary pneumonia.

My husband was very worried about me, and the trustee bought albumin and globulin to beat me, but my temperature never dropped to normal. On the eighth day, I received a notification: I was transferred to Wuhan Jinyintan Hospital to continue treatment.

There were 4 people on a transfer truck. There was no oxygen on the truck. I opened my mouth to the fullest and kept breathing. "How long will it take?" We kept asking along the way, more than 10 minutes seemed to see the end.

At 1 noon on January 30, I was admitted to a general isolation ward on the second floor of the north of Jinyintan Hospital. The main team here is the Shanghai Medical Team. After hormonal shock treatment, my fever subsided the next morning, and my thorax was suddenly bright, people were much more comfortable and my spirit improved.

I was relieved, thinking that the condition was moving in a good direction.


On the third day of transfer, the patient's condition suddenly changed and he was reported to be in critical condition.

On February 1, the 10th day of hospitalization and the 3rd day of transfer.

No one expected that my condition would suddenly take a sudden turn at night:

Difficulty breathing, coughing violently, as if just after running 10,000 meters, the heart will pop out at any time. The heart rate is very slow, and there is an unexplainable chest pain that sweeps the whole body. With a little movement, it hurts.

I think this should be the second counterattack of the virus.

I am a doctor. Based on the symptoms, I judged that I had pericardial endocarditis and pericardial effusion. I immediately told the doctor about my condition. I faintly heard the nurse say, "The situation is not so good, people are about to die." I also felt that I couldn't get over that night.

Thinking that I might never see my husband and daughter again, I struggled to connect with her husband's phone. "I can't do it ..." Upon hearing this, her husband cried with a "wow". With every word I said, my chest pain was about to suffocate. I could only pick a few things that I couldn't be assured of and made a brief explanation with him.

Soon, the nurse came to draw blood, and the doctor added me medicine. The next day, my test results came out, pericarditis. The doctor said that fortunately I spoke early and gained valuable time for their handling, and my life was saved by myself.

After that, my condition is getting better every day. On the 8th day, I felt that I had recovered almost, and applied for CT and nucleic acid examination. I heard that I wanted to be discharged from the hospital. My husband was worried that I was not good and advised me to stay a few more days.

Such precious medical resources can't be occupied. I have to make a bed for patients in urgent need of treatment. To reassure him, I sent him three meals a day and asked him to help him take a video of my exercise in the ward and send it to him.

On February 11, I was discharged. After life and death, I am like another generation. When my husband came to pick me up, he deliberately brought about the changes in the condition he recorded for me every day for 20 days when he was sick. When I saw the familiar font on the desk calendar, I burst into tears.
 
kiwibird said:
http://www.mychinanews.com/news/n/1/2418096
(Original title: It ’s so good to live! On the 10th day of hospitalization, the virus made a second counterattack, and I waited for the old bus ...
Drifting (a pseudonym) is an emergency physician at the Eighth Hospital of Wuhan.

...snip
I don't have a fever, and I don't have any symptoms. I should be in the early stages. I should go home and take medicine for isolation. I should be able to get well soon. I quickly made a diagnosis to myself.I went to the pharmacy and took moxifloxacin, oseltamivir, abidol tablets, and lotus clear pest capsules, and returned to the office to pack and go home. I felt my head was a bit hot. I took out a thermometer: 38.7 ℃ and I had a fever. ..

From home to the gate of the community, it usually only takes two or three minutes, and I walked for more than 20 minutes that day. For the first time, I felt that the road was so difficult and long, if only I could carry it on my back...Burned out, I thought the condition was getting better I was admitted to the hospital. Waking up again, it was already the next afternoon, and I had a high fever day and night.

After treatment, his temperature dropped quickly. During my stay in the eighth hospital of the city, my body temperature was high and low, and I kept sweating. I had to change several sets of underwear a day. The most uncomfortable thing was headache and fatigue. The nurse came to give me an injection. I didn't even have the strength to raise my hand. She had no appetite, and only 2-3 porridges were eaten for 5 days in hospital.

On the fifth day, the result of the nucleic acid test came out: positive, I was diagnosed with new coronary pneumonia.....I was relieved, thinking that the condition was moving in a good direction. On the third day of transfer, the patient's condition suddenly changed and he was reported to be in critical condition. On February 1, the 10th day of hospitalization and the 3rd day of transfer. No one expected that my condition would suddenly take a sudden turn at night:

Difficulty breathing, coughing violently, as if just after running 10,000 meters, the heart will pop out at any time. The heart rate is very slow, and there is an unexplainable chest pain that sweeps the whole body. With a little movement, it hurts. I think this should be the second counterattack of the virus.

I am a doctor. Based on the symptoms, I judged that I had [U]pericardial endocarditis and pericardial effusion[/U]. I immediately told the doctor about my condition. I faintly heard the nurse say, "The situation is not so good, people are about to die." I also felt that I couldn't get over that night.
Click to expand...

This very interesting video https://www.youtube.com/watch?v=q-e-26AGQLE lists symptoms of endocaritis as Anorexia, Tiredness and weakness, High fever, Sweating, Shortness of breath, chest pain etc. The symptoms of pericardial effusion areChest pain, pressure, discomfort.Light-headedness, syncope. Palpitations. Cough. Dyspnea. Hoarseness. Anxiety and confusion. I have seen all of these listed as symptoms of the Novel Coronavirus in its severe form.

Perhaps this is what they mean when they say that they treat symptomatically!
 
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