Coronavirus symptoms. What to look for if you think you might be sick
Los Angeles Times
February 3, 2020
By Karen Kaplan, science and medicine editor
Feeling sick? You may be wondering whether you could be infected with the new strain of coronavirus that has spread from China to more than two dozen countries and territories around the world.
If you live in the United States, chances are good that it’s not the coronavirus that ails you. The Centers for Disease Control has confirmed 11 cases of novel coronavirus infection in the U.S., including six in California. The CDC also determined that 167 people who had symptoms consistent with the coronavirus were not actually infected.
More tests are pending , and health officials expect the number of confirmed cases here will rise as the outbreak continues. But it’s important to keep in mind that the risk is low and that no one in the U.S. has died as a result of being infected. By contrast, the CDC estimates that 19 million to 26 million people in the U.S. have been sickened by influenza since Oct. 1, 2019, and that the flu has caused 10,000 to 25,000 deaths during that time.
The CDC is asking people to call a doctor if they develop a fever, cough and respiratory problems within two weeks of having traveled to China, or if they become ill after having “close contact” with someone who has recently been to China. State public health authorities will determine whether a test for the virus, known as 2019-nCoV, is necessary.
Here’s a closer look at the symptoms associated with the coronavirus that’s causing the current outbreak. Keep in mind that many of these symptoms can also be caused by more common kinds of infections, including something as mundane as the common cold.
Fever The body temperature of a healthy person averages 98.6 degrees Fahrenheit (or 37 degrees Celsius). Some people tend to run a little higher or a little lower, but if you hit 100.4 degrees F (or 38 degrees C), you have a fever.
Sometimes a fever makes you feel hot and sweaty. Other times it gives you chills, so that you’ll shiver and generate more body heat. Aches, weakness and loss of appetite may also occur.
A fever is usually a sign that your body is fighting off some kind of infection. The higher internal temperature makes it more difficult for disease-causing viruses and bacteria to survive.
A fever also prompts your immune system to swing into action . The elevated temperature triggers the body to switch on genes that regulate the body’s inflammatory response. When inflammation occurs, affected tissues attract immune system cells called phagocytes that ingest and neutralize invading pathogens.
Though infections are the most common cause of fevers, they aren’t the only ones. A fever can be a side effect of certain medications and vaccines. It can also be a side effect of some autoimmune diseases, such as rheumatoid arthritis and certain types of cancer.
In general, adults need not be concerned about a fever unless their temperature hits 103 degrees F, according to the Mayo Clinic. Any fever in an infant or toddler , however, should be taken seriously.
Cough Like a fever, a cough is a way for the body to get rid of pathogens that make us sick.
Sometimes coughs are voluntary; other times, they happen automatically. Either way, a successful cough will expel viruses, bacteria and other foreign invaders from the respiratory tract before they reach the lungs, where they can cause more serious problems.
Some coughing is normal, but if a cough lasts for weeks, it may be time to see a doctor, the Mayo Clinic advises. The same goes for a cough that brings up mucus that contains blood or that is thicker or darker than usual. Some coughs are so severe that they can induce headaches, dizziness, urinary incontinence and the urge to throw up .
How forceful can a cough get? According to experts at Harvard Medical School, air can shoot out from your lungs and through your air passages at a velocity that approaches the speed of sound.
Shortness of breath A variety of lung conditions can cause shortness of breath, including pneumonia, asthma and chronic obstructive pulmonary disease. So can cardiovascular problems, such as a heart attack, low blood pressure, abnormal heartbeats or heart failure.
The heart and lungs are responsible for delivering oxygen to organs and tissues throughout the body and removing the carbon dioxide that’s a byproduct of respiration. If this isn’t happening and the amount of CO2 in the blood gets too high, the brain instructs the body to breathe more often or more deeply. That may make you feel short of breath, the American Lung Assn. explains.
A person experiencing shortness of breath — the medical term is “dyspnea” — can feel winded doing something as simple as walking, taking the stairs or even sitting still , according to the Chest Foundation.
The best way to treat dyspnea depends on the cause, which can vary from person to person. If a blood clot is to blame , a prescription for blood-thinning medications may be in order. If it’s asthma, a bronchodilator could be the best way to open up the airways .
Pneumonia In the early days of the outbreak , coronavirus patients in China were believed to be sick with pneumonia. The World Health Organization now says pneumonia can be a symptom of a serious case of coronavirus infection.
An infection in one or both lungs can result in pneumonia. A virus can trigger the disease. So can bacteria, fungi or other types of germs .
Certain groups of people are more vulnerable than others, according to the National Heart, Lung and Blood Institute. For instance, those who already have an underlying health problem are more susceptible to pneumonia. So are children under the age of 5 and seniors who are at least 65. Severe cases require hospitalization — indeed, pneumonia is the No. 1 cause of hospitalizations in the U.S. — but many people can recover at home with the help of antibiotics or other medications .
Kidney failure Severe cases of coronavirus infection may result in kidney failure , the WHO says. A patient is considered to have kidney failure when at least 85% of his or her kidney function is gone, according to the National Kidney Foundation.
The kidneys are responsible for cleaning the blood, removing waste products and acids as well as extra fluid. Without proper kidney function, your blood can’t maintain the necessary balance of water, salts and minerals to keep muscles, nerves and other tissues working as they should, says the National Institute of Diabetes and Digestive and Kidney Diseases.
The kidneys, each about the size of a fist, also produce hormones that make red blood cells, keep blood pressure in check and maintain bone health .
When the kidneys can’t filter blood on their own , patients must turn to dialysis treatment to pick up the slack . With hemodialysis, the blood is removed from the body and cleaned in a dialyzer, or artificial kidney, before being returned. With peritoneal dialysis, the lining of the abdomen (called the peritoneum) does this job with the help of a dialysis solution delivered through a catheter.
A more permanent solution for kidney failure is a transplant from a matcheddonor . Only one healthy kidney is needed for a transplant to be a success.
About the author:
Karen Kaplan is science and medicine editor at the Los Angeles Times. Before joining the science group, she covered technology in the Business section. She is a graduate of MIT and Columbia University.
