Inside Medicine. What Are You Seeing? [COVID-19 medical news]

@calmom , my teen gets random rashes. Heat rash or contact dermatitis, or exczema, or reaction to allergy shots. I am concerned about confusing what i or the school sees with a covid rash. Or vice versa.

That’s great, but when is it coming? We need rapid testing now.


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That's great, but when is it coming? We need rapid testing now.<<<

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The episode really invited you to help with that, call, write, phone. This is not a they problem (the researchers) this is a political problem. This is an US problem. This is a regulatory problem.
The Trump Abbot test story was especially important to hear IMO. How stupid are we all? The FDA, the CDC, are not on the ball at all.

I think big research unis could make their own quick test, and use them under some guise that is not a diagnostic test, for their students and faculty. Enroll them all in a trial. All positives get referred for an approved PCR. It would be a start.

Shingles is very painful and usually appears on only one side of the body.

Bad news for the claim that children do not transmit the virus. South Korea researchers examined household transmission for a large group of “index cases,” where an index case is the first person in the household to be infected. Of all the age groups, index cases in the 10-19 age group were the most likely to transmit to other household members.

https://wwwnc.cdc.gov/eid/article/26/10/20-1315_article

Rule out poison ivy. Ask me how I know.

What is the shortest duration for a COVID test that one knows the result are positive or negative?

My kid got a Covid test result in less than 24 hours about a month ago.

If it is a rapid test, 15minutes.

I called the doc this morning and got the partner. She indicated I should call at 7am Monday and get a same day appointment and they will do a Covid test.

She asked if I had a Covid-exposure and my best answer is “not that I know of”.

The “rash” is chin to hip with areas that look like heat rash, other areas that look like measles and some that look like welts. It’s rather stunning. No pain, no itch. Just weirdness. It started on Monday or Tuesday and looked like 3 spider bites.

If nothing else, I’m sure there’s a steroid in my future.

Molecular tests. If done at the point of care on the spot immediately after sample collection, 15 minutes. A more accurate test that can be used at a point of care takes about 45 minutes. The company that makes the 45 minute test just announced they are working on combining their respiratory panel (flu et al) and Covid in one test. That would be great.

The problem with long TAT is that samples get shipped to a central lab that may or may not have the reagents to run PCR the day they receive the sample. There are still shortages of supplies. Also, labs may have limited capacity due to sheer volume of tests they need to process. Lots of hiccups still…

FDA issues first emergency use authorization for Covid-19 pool testing
From CNN’s Gisela Crespo

The US Food and Drug Administration on Saturday announced it has issued an emergency use authorization that allows Quest Diagnostics to pool samples from up to four individuals to test for Covid-19.

This is the first Covid-19 diagnostic test in the United States to be authorized for use with pooled samples, the agency said in a statement.

“This EUA for sample pooling is an important step forward in getting more Covid-19 tests to more Americans more quickly while preserving testing supplies,” FDA Commissioner Dr. Stephen Hahn said in the statement. “Sample pooling becomes especially important as infection rates decline and we begin testing larger portions of the population.”
Sample pooling allows multiple people to be tested at once. The samples are collected and then tested in a pool or “batch” using just one test. If the pool tests positive, this means one of or more of the people tested in that pool may be infected with the virus. Each of the samples would then have to be tested again individually.

The FDA last month published guidance for developers that want to make and use tests for pooled samples.

In late June, Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, said the White House coronavirus task force was “seriously considering” pool testing as a new strategy to improve testing as the nation experienced a surge in Covid-19 cases.

In its statement, the FDA said that while there is a “concern that combining samples may make it more difficult to detect positives, since pooling in the laboratory dilutes any viral material present in the samples,” Quest’s validation data correctly identified all of the pooled samples that contained a positive sample.

I can’t shake Covid-19: Warnings from young survivors still suffering
From CNN’s Ryan Prior

Daniel Green is still hobbled by the severe viral infection that struck him in March and left him coughing up blood.

Three months ago, the 28-year-old postdoctoral research associate from Newcastle, United Kingdom, was on the road with friends in a band as they toured venues in the French Alps.

He came down with Covid-19 symptoms, and like many coronavirus patients, spent weeks in bed.

Unlike other people, however, Green’s life hasn’t returned to normal.

“Since then it’s been on and off with extreme tiredness and fatigue,” he said.

Every day he has brain fog, difficulty concentrating and problems with short-term memory that make reading, writing and speaking harder.

“Breathing has been very difficult,” he said. “I don’t feel like I have my full breath capacity. If I go for a walk for one minute, I’ll be really exhausted.”

The profound mark the disease has made on Green’s life isn’t uncommon.

“About 80% are going to experience a mild or asymptomatic version of Covid. It’s the other 20% that we’re worried about,” said Dr. Luis Ostrosky-Zeichner, a professor of medicine at the University of Texas McGovern Medical School.

“One out of five patients are going to get a severe form of the disease.”

Some young people are not getting better: As case counts among young people rise, Green and others in their 20s want to share stories of the wreckage Covid-19 has wrought in their lives.

Those patients can potentially experience permanent lung damage, including scarring and reduced lower respiratory capacity.

“The thing that we don’t yet fully appreciate is what happens when you get infected, and you get serious disease, and you recover?” said Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, at the BIO International Convention in June.

“We don’t know the extent of full recovery or partial recovery, so there’s a lot we need to learn,” he said.

Young people, who are less likely to die from coronavirus than their grandparents, are an important target of those lessons.

Whether they contracted the virus among the snow-capped peaks of the Alps or in the heart of the outbreak in New York City’s borough of Queens, some 20-somethings are getting sick from Covid-19. And staying sick.

Their stories are a warning from millennials to millennials: Don’t play the odds with coronavirus because this disease could permanently damage your body.

Read the rest of the piece here:
https://www.cnn.com/2020/07/18/health/long-term-effects-young-people-covid-wellness/index.html

Dozens of babies test positive for coronavirus in one Texas county
From CNN’s Faith Karimi and Raja Razek

Eighty-five infants under the age of 12 months have tested positive for coronavirus in one Texas county. And local officials are imploring residents to help stop its spread as the state becomes one of the newest hotspots.

Since January, health authorities have identified more than 3.6 million Covid-19 cases throughout the United States. Nearly 140,000 people have died, according to Johns Hopkins University.

In Texas’ Nueces County, where Corpus Christi is located, the number of new coronavirus cases skyrocketed in July after a flattening trend. The virus has infected dozens of babies and local officials are urging people to wear masks and practice social distancing.

“We currently have 85 babies under the age of one year in Nueces County that have all tested positive for Covid-19,” said Annette Rodriguez, director of public health for Corpus Christi Nueces County.

“These babies have not even had their first birthday yet. Please help us stop the spread of this disease.”

She did not provide additional details on their conditions.

What’s happening: Nueces County has the fastest growth in new cases on the seven-day average than any other metropolitan county in the state," said Peter Zanoni, the Corpus Christi city manager.

https://www.cnn.com/2020/07/18/health/texas-infants-coronavirus-trnd/index.html

@Mom22039 - glad that you are getting tested, but if it is any sort of reassurance, 96% of Covid patients have either a fever, cough, or shortness of breath among whatever other symptoms they experience: https://www.cnn.com/2020/07/16/health/patient-symptom-cdc-study-wellness/index.html

I hope you can see a dermatologist – there’s a very long list of other potential causes that are far more likely. (Contact determatis, allergic reaction etc. )

fwiw: seeing a Derm was my first thought…

Just to be clear, although it doesn’t apply here because a rash would be a symptom, 96% of covid patients *who have any symptoms * have a fever, a cough, or shortness of breath. A good number of people who are infected with covid have no symptoms. They can still infect other people.

96% of Covid patients have either a fever, cough<<<

Huh?

It means that of symptomatic patients with confirmed cases of Covid, 96% reported at least one of the classic symptoms of fever or cough or shortness of breath, even though they also reported a wide array of collateral symptoms. This is based on a survey of 164 people.

It doesn’t include asymptomatic people.

I linked to the article in the context of the person who now has a rash – but apparently no pain or fever. The point is, even though people with covid can have rashes, it would be rare for a person with Covid to have a rash without fever, coughing, or breathing problems.

The economist that is referred to in the TWIV 640 episode on why we need a Manhattan Project style rollout of $1 saliva paper tests. https://www.forbes.com/sites/kotlikoff/2020/07/10/a-manhattan-project-to-capture-and-kill-covid-19-with-rapid-home-testing/#72430f887a20