or some patients, COVID-19 is the uninvited visitor who won't leave. These survivors have described a troubling array of persistent symptoms, including fatigue, insomnia, changes in smell and taste, shortness of breath, chest pain, palpitations, dizziness, depression, and anxiety.In some cases, the symptoms are disabling, preventing them from working or even going about their normal daily activities. In late February, the National Institutes of Health (NIH) gave this novel constellation of symptoms a formal name: postacute sequelae of SARS-CoV-2 infection (PASC).To help guide and coordinate care for the large number of people with these COVID-19 aftereffects, outpatient clinics dedicated to PASC have sprung up around the country. As of April, 33 states in the US had at least 1 such clinic. In New York City, pulmonary and critical care specialist Aluko Hope, MD, helped launch the Montefiore-Einstein Department of Medicine's COVID-19 Recovery Clinic. Now at the Oregon Health & Science University, he spoke recently with JAMA about how the Montefiore-Einstein clinic helps people whose COVID-19 symptoms persist, sometimes for months. The following is an edited version of that conversation.
Mechanical ventilators are frequently used for conditions that cause either low oxygen levels (such as pneumonia) or high carbon dioxide levels (such as chronic obstructive pulmonary disease).
This Medical News article is an interview with Ankit Bharat, MD, a surgeon at Chicago’s Northwestern Memorial Hospital who performed the first bilateral lung transplant for COVID-19 in the US.
Giant cell interstitial pneumonia (GIP) is a rare form of chronic interstitial pneumonia typically associated with hard metal exposure. Only two cases of GIP induced by nitrofurantoin have been reported in the medical literature. We are reporting a case of recurrent nitrofurantoin-induced GIP. Although extremely rare, GIP needs to be included in the differential diagnosis in patients with chronic nitrofurantoin use who present with respiratory illness.
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