Long COVID: recognizing and supporting

Definition

Symptoms persisting >3 months after SARS-CoV-2 infection, with no other explanation. Affects 5-15% of infected individuals. More common in women, after severe infections, but possible after mild forms.

Main symptoms

• Intense fatigue, post-exertional malaise
• Brain fog: concentration, memory problems
• Dyspnea, persistent cough
• Taste/smell disturbances, palpitations, dizziness
• Anxiety, depression, sleep disorders

Management

Multidisciplinary approach: coordinating GP, respiratory and exercise rehabilitation physiotherapy (with caution), speech therapy for cognitive disorders, psychological support, rehabilitation programs. No specific validated treatment to date, but much research underway.

Practical advice

Pacing (graduated energy management), avoid deconditioning like overactivity. Adapted rhythm for return to work.