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{"id":295,"date":"2020-04-02T10:58:19","date_gmt":"2020-04-02T09:58:19","guid":{"rendered":"https:\/\/pandemias.org\/web\/?p=295"},"modified":"2020-04-02T18:35:48","modified_gmt":"2020-04-02T17:35:48","slug":"sintomas-del-coronavirus-como-diferenciarlo-de-la-gripe-y-el-resfriado","status":"publish","type":"post","link":"https:\/\/pandemias.org\/web\/en\/sintomas-del-coronavirus-como-diferenciarlo-de-la-gripe-y-el-resfriado\/","title":{"rendered":"S\u00edntomas del CORONAVIRUS: Como Diferenciarlo de la GRIPE y el RESFRIADO"},"content":{"rendered":"

Manifestaciones cl\u00ednicas de COVID19<\/strong><\/p>\n

L<\/span>a <\/span>\u00a0neumon\u00eda parece ser la manifestaci\u00f3n grave m\u00e1s frecuente de infecci\u00f3n, caracterizada principalmente por fiebre, tos, disnea e infiltrados bilaterales en las im\u00e1genes de t\u00f3rax.\u00a0No hay caracter\u00edsticas cl\u00ednicas espec\u00edficas que puedan distinguir de manera confiable COVID-19 de otras infecciones respiratorias virales.<\/p>\n

En un estudio que describi\u00f3 a 138 pacientes con neumon\u00eda por COVID-19 en Wuhan, las caracter\u00edsticas cl\u00ednicas m\u00e1s comunes al inicio de la enfermedad fueron:<\/p>\n

\u25cf<\/span>Fiebre en 99 por ciento<\/p>\n

\u25cf<\/span>Fatiga en 70 por ciento<\/p>\n

\u25cf<\/span>Tos seca en 59 por ciento<\/p>\n

\u25cf<\/span>anorexia en 40 por ciento<\/p>\n

\u25cf<\/span>Mialgias en 35 por ciento<\/p>\n

\u25cf<\/span>Disnea en 31 por ciento<\/p>\n

\u25cf<\/span>Producci\u00f3n de esputo en 27 por ciento.<\/p>\n

Otros estudios de cohortes de pacientes de Wuhan con COVID-19 confirmado han informado un rango similar de hallazgos cl\u00ednicos.\u00a0Sin embargo, la fiebre podr\u00eda no ser un hallazgo universal.\u00a0En un estudio, se inform\u00f3 fiebre en casi todos los pacientes, pero aproximadamente el 20 por ciento ten\u00eda una fiebre de muy bajo grado <38 \u00b0 C..\u00a0En otro estudio de 1099 pacientes de Wuhan y otras \u00e1reas de China, la fiebre (definida como una temperatura axilar superior a 37.5 \u00b0 C) estuvo presente en solo el 44 por ciento al ingreso, pero finalmente se observ\u00f3 en el 89 por ciento durante la hospitalizaci\u00f3n.<\/p>\n

Aunque no se destac\u00f3 en los estudios iniciales de cohorte de China, los trastornos del olfato y el gusto (p. Ej., Anosmia y disgeusia) tambi\u00e9n se han descrito como s\u00edntomas comunes en pacientes con COVID-19.\u00a0En una encuesta de 59 pacientes con COVID-19 en Italia, el 34 por ciento autoinformaron una aberraci\u00f3n olfativa o del gusto y el 19 por ciento inform\u00f3 ambos.\u00a0Si esta es una caracter\u00edstica distintiva de COVID-19 es incierto.<\/p>\n

Otros s\u00edntomas menos comunes han incluido dolor de cabeza, dolor de garganta y rinorrea.\u00a0Adem\u00e1s de los s\u00edntomas respiratorios, tambi\u00e9n se han informado s\u00edntomas gastrointestinales (p. Ej., N\u00e1useas y diarrea);\u00a0y en algunos pacientes, pueden ser la queja de presentaci\u00f3n.<\/p>\n

Referencias:<\/p>\n

1. Clinical Characteristics of Coronavirus Disease 2019 in China: https:\/\/www.ncbi.nlm.nih.gov\/pubmed?term=32109013 <\/a><\/p>\n

2. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China: https:\/\/www.ncbi.nlm.nih.gov\/pubmed?term=31986264 <\/a><\/p>\n

3. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China: https:\/\/www.ncbi.nlm.nih.gov\/pubmed?term=32031570 <\/a><\/p>\n

4. Time Course of Lung Changes On Chest CT During Recovery From 2019 Novel Coronavirus (COVID-19) Pneumonia: https:\/\/www.ncbi.nlm.nih.gov\/pubmed?term=32053470 <\/a><\/p>\n

5. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. https:\/\/www.ncbi.nlm.nih.gov\/pubmed?term=32105637 <\/a><\/p>\n

6. Self-reported olfactory and taste disorders in SARS-CoV-2 patients: a cross-sectional study. https:\/\/www.ncbi.nlm.nih.gov\/pubmed?term=32215618<\/a><\/p>","protected":false},"excerpt":{"rendered":"