In the old people’s home in Wolfsburg, everything went quite quickly: No typical Corona-like symptoms and a significantly shortened process of dying. Thus, the operation described at the end of diakonia, the outbreak of the Virus in the Hanns-Lilje-home.
Meanwhile, about 20 residents are there, after infection with Covid-19 died. Also in other old homes, the Virus is rampant. There are several reports of sudden respiratory arrest.
A lawyer from Wolfsburg shortly after the first death complaint against the operator of the device cases made for negligent homicide. Treatment failure as the reason for the quick death? Experts have a different suspicion.
Guido Michels is chief physician at the St. Antonius Hospital in Eschweiler and a member of the German society for Internal intensive care medicine and emergency medicine. He has already overseen a number of older Corona-patients.
pre-existing gradients Are to blame for atypical Corona?
the rapid death are a sign of a failed treatment, he concludes. In the elderly, the gradients are often atypical, because people could come down with other diseases.
The immune system is no longer as powerful, the elderly had higher rates of infection and were more susceptible to infections. In addition, the lungs not changing in the age of the gas exchange often works so well. All of which make people particularly vulnerable, says Michels.
Peter Berlit, Secretary-General of the German society for neurology, looks at the age and pre-existing conditions as a major explanation for severe gradients.
will, However, reported in the current Corona pandemic, occasionally, that the patient suffered a sudden respiratory arrest, without that they had before that, serious lung symptoms. This relates not only to older patients.
these unusual patterns can How explain?
the novel Coronavirus Attacks the brain?
A look at the experiences with the also by corona virus-induced diseases, Mers, and Sars can provide may notes.
“From a previous Coronavirus infection, we know that the brain stem may be involved in virus with.”
There is also the control for the cardiovascular System and the respiratory tract sits. A caused by a virus, inflammation in the brain stem could trigger loud Berlit, for example, a respiratory arrest. For the novel Coronavirus that has not been established yet.
the First studies to provide evidence for this Theory, about the Chinese researchers. “That the infection of the Central nervous system affecting, is Huijuan Jin of the Huazhong University in Wuhan, however, no doubt”, writes the German physicians ‘ sheet.
In the case of Sars, and Mers, the pathogens enter through the olfactory nerve, through which the nasal cavity with the brain is connected, writes the German physicians ‘ sheet.
Also in the case of European Covid-19-described patients in up to 80 per cent, disorders of smell and sense of taste. “A neurological Symptom,” says Berlit, “as an indication that the nervous system is involved.”
infections Loge Bernd Salzberger has been in charge of about 50 Corona-patients at the University hospital Regensburg. In his patients he had the sudden respiratory arrest is not yet observed, said Salzberger.
The loss of sense of taste and smell but on a brain participation. “There is, so far, only very few studies on the brain of Corona patients. Since we are still in the dark.”
“We know that there is a possible infestation of the nervous system due to Corona is discussed viruses,” says Frank Heimann, Chairman of the Federal Association of pulmonologists, sleep and respiratory physician.
let A sudden respiratory arrest, but also by other complications to explain. So about a pulmonary embolism is conceivable, or sudden cardiac arrhythmia was due to a viral inflammation of the heart muscle.
In both cases, the respiratory failure is not to quit before. In the case of bacterial or virus-induced diseases of the lung patients lung would fail clinically noticeable, because they would become restless or sleepy.
From a neurological point of view, it is important to clarify how many of the severe courses of the disease triggered by the involvement of the Central nervous system, says Berlit.
Currently, experts are conducting research around the world to the Virus. Berlit hopes that by the end of April, a data position is present, with the help of the new pathogen and its activities in the nervous system can be evaluated.
Deutsche Presse-Agentur (dpa)
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