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Cough Update: How to Establish the Diagnosis of COVID-19 in patients with Fever and cough

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eMediNexus    13 May 2021

The following points may help diagnose the patients with COVID-19, if they present with symptoms of fever and cough.

Early symptoms of COVID-19 include:

  • Fever
  • Dry cough
  • Fatigue

It may further advance to pneumonia, respiratory failure, septic shock, and death. Cytokine release syndrome or a cytokine storm may be the reason behind such complications.

The complications that need immediate medical help-

  • breathing difficulty or shortness of breath
  • Chest pain or pressure
  • New confusion
  • Unable to wake up fully
  • Bluishness in lips or face

 The symptom frequency in the COVID-19 patients can be summarized as-

  • Fever 83%-99%
  • Cough 59%-82%
  • Fatigue 44%-70%
  • Lack of appetite 40%-84%
  • Shortness of breath 31%-40%
  • Mucus/phlegm 28%-33%
  • Body aches 11%-35%

DIFFERENTIATIG COLD/ FLU/ALLERGIES/COVID-19

Symptoms

Cold

Flu

Allergies

COVID-19

(can range from moderate to severe)

Fever

Rare

High (100-102 F), Can last 3-4 days

Never

Common

Headache

Rare

Intense

Uncommon

Can be present

General aches, pains

Slight

Usual, often severe

Never

Can be present

Fatigue, weakness

Mild

Intense, can last up to 2-3 weeks

Sometimes

Can be present

Extreme exhaustion

Never

Usual (starts early)

Never

Can be present

Stuffy/runny nose

Common

Sometimes

Common

Has been reported

Sneezing

Usual

Sometimes

Usual

Has been reported

Sore throat

Common

Common

Sometimes

Has been reported

Cough

Mild to moderate

Common, can become severe

Sometimes

Common

Shortness of breath

Rare

Rare

Rare, except for those with allergic asthma

In more serious infections

Source: Jain MS, Dr. Barhate SD. Corona viruses are a family of viruses that range from the common cold to MERS corona virus: A Review. Asian J. Res. Pharm. Sci. 2020; 10(3):204-210. DOI: 10.5958/2231-5659.2020.00039.9

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