Case history
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Opvolging en revalidatie van patiënten met aanhoudende klachten na COVID-19 in de eerste lijnPublished by: KU Leuven | Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2023Suivi et revalidation des patients présentant des symptômes persistants après la COVID-19 en première lignePublished by: KU Leuven | Groupe de Travail Développement de recommmandations de première ligneLast published: 2023Case history
A 48 year-old woman presents with extreme fatigue, dyspnoea with exertion, arthralgia, and 'brain fog'. She first noticed these symptoms following an acute coronavirus disease 2019 (COVID-19) illness 4 months ago. Prior to having COVID-19 she was healthy. While she initially noted some improvement following her acute infection, over the past 2 months she feels she has plateaued and has not reached her premorbid level of functioning. She says she needs to rest frequently throughout the day and has not returned to her normal level of exercising or social activities. A basic laboratory work-up is normal. Her vital signs including orthostatic testing and ambulatory pulse oximetry are also normal. A complete neurological and cardiovascular examination are unremarkable.
Other presentations
The presentation of long COVID is varied and over 200 symptoms have been linked to the condition.[13] People with long COVID generally have a slow resolution or a plateauing of their symptoms over time. Rarely, patients will have continued progression of symptoms over time (for example, feeling worse with long COVID than they did with acute COVID-19). Furthermore, symptoms of long COVID typically begin after 4 weeks or within 3 months of acute infection and are not generally expected to arise during the chronic period.[3][4]
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