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Coronavirus disease 2019 (COVID-19)

Overview

COVID-19 is a contagious respiratory illness caused by the SARS-CoV-2 virus that emerged in late 2019. It can range from mild cold-like symptoms to severe pneumonia, multi-organ failure, and death.

Vaccines have greatly reduced severe and fatal forms of the disease. During the pandemic, millions of people were affected.

Symptoms

Symptoms appear 2-14 days (average 5 days) after exposure to the virus:

Common symptoms:

  • Fever, chills
  • Cough (dry or productive)
  • Fatigue, weakness
  • Sore throat
  • Headache
  • Muscle and joint aches
  • Runny or stuffy nose
  • Loss of smell and taste (especially with early variants)

Less common symptoms:

  • Diarrhea, nausea, vomiting
  • Abdominal pain
  • Conjunctivitis (eye redness)
  • Skin rashes

Severe symptoms (require emergency care):

  • Shortness of breath, difficulty breathing
  • Persistent chest pain or pressure
  • Bluish lips or face
  • Confusion, loss of consciousness
  • Inability to speak or move

Causes

The SARS-CoV-2 virus spreads through droplets and aerosols released by coughing, sneezing, talking, or breathing. Close contact and poorly ventilated indoor settings increase the risk of transmission.

Risk Factors (For Severe Disease)

  • Age 65 and older
  • Chronic diseases (diabetes, heart, lung, kidney)
  • Obesity
  • Cancer
  • Use of immunosuppressive drugs
  • Pregnancy
  • Smoking
  • Being unvaccinated

Complications

  • Acute respiratory distress syndrome (ARDS)
  • Pneumonia
  • Thromboembolic events (blood clots)
  • Heart involvement (myocarditis)
  • Kidney failure
  • Multi-organ failure
  • Secondary bacterial infections
  • Long COVID: Fatigue, shortness of breath, brain fog, palpitations lasting for months
  • MIS-C in children: Multisystem inflammatory syndrome

When to See a Doctor

Emergency situations:

  • Shortness of breath
  • Persistent chest pain
  • Confusion
  • Bluish lips/face
  • High fever lasting more than 3 days

Mild cases can be managed with home isolation and monitoring. High-risk patients should see a doctor early for antiviral treatment.

Diagnosis and Treatment

Diagnosis:

  • PCR test (gold standard)
  • Rapid antigen test
  • Antibody test (for past infection)
  • Lung CT (in case of complications)

Treatment:

  • Mild cases: rest at home, plenty of fluids, paracetamol
  • Early antiviral treatment in risk groups (paxlovid, molnupiravir)
  • Hospital treatment: oxygen, corticosteroids (dexamethasone), anticoagulants
  • Severe cases: intensive care, mechanical ventilation
  • Antibiotics only if bacterial complications develop

Prevention

  • Vaccination: The most effective protective method; do not skip booster doses
  • Wear masks (in crowded indoor places)
  • Wash hands frequently or use hand sanitizer
  • Ventilate indoor spaces
  • Avoid sick people
  • Stay home and get tested if you have symptoms
  • Maintain a strong immune system
  • Protect risk groups