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pnwmom

(108,980 posts)
Sun Mar 22, 2020, 08:49 PM Mar 2020

*** Important COVID-19 statistic: only 44% of cases present with fever. ***

They might just present with cold or allergy symptoms.

https://www.medscape.com/viewarticle/927264?fbclid=IwAR3nL8BkEe2kKA00nG2_jwA6QpaCuk8BbHaEW4fGdppg1J0Lle-5S2lzqJA#vp_2

Allergist–immunologist Grayson also noted one particularly concerning observation in updated CDC guidance about presenting signs and symptoms of COVID-19 is that not all patients are febrile.

With the start of allergy season, this makes identification of COVID-19 especially challenging.

"What's scaring me is that only 44% are presenting to the hospital with fever. Cough, congestion, and rhinorrhea could be allergies — or it could also be COVID-19. I have no idea, and now they're standing in front of my nurses coughing in their faces — great," he told Medscape Medical News.

"We were just discussing that in our office," agreed Hill. "Essentially, our message to patients is if you're not feeling well stay home. Normally when somebody's sick we want to see them but now we don't, so we're looking at telehealth options. And if they're really sick, the hospital has a special central area."

Follow Medscape on Facebook, Twitter, Instagram, and YouTube.

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*** Important COVID-19 statistic: only 44% of cases present with fever. *** (Original Post) pnwmom Mar 2020 OP
Sounds like a lot of people are going to ER just because they have cough, etc. That is not a reason Hoyt Mar 2020 #1
Remember that in 14 states without the Medicaid expansion, the only way to get medical care pnwmom Mar 2020 #9
I think you misunderstood. LisaL Mar 2020 #2
That's not how I understood it in the context of this: pnwmom Mar 2020 #8
Not all patients have fever, that's true. LisaL Mar 2020 #16
I don't think so. The whole point of those paragraphs is that people with Covid-19 pnwmom Mar 2020 #20
So the thing with measuring their temperatures will fail, and they Blue_true Mar 2020 #22
Agree. Many assumptions are being made, radius777 Mar 2020 #43
This is the paragraph you are talking about. LisaL Mar 2020 #26
According to a specialist from John Hopkins 20% are afebrile at time of diagnosis Vivienne235729 Mar 2020 #45
Is it possible to have this novel coronavirus but NOT Covid-19? Siwsan Mar 2020 #3
If you have coronavirus, you have Covid-19...they are one in the same. Lochloosa Mar 2020 #4
I was under the (mis)understanding that coronavirus was the virus that caused the disease Covid19 Siwsan Mar 2020 #5
SARS, Bird Flu ect. Are a coronavirus. There just not a "novel" virus. Lochloosa Mar 2020 #7
I've seen it referred to as a 'novel' virus. There's just so much out there, it's hard to sift facts Siwsan Mar 2020 #10
Covid-19 is caused by SARS-CoV-2 radius777 Mar 2020 #42
+1, me too ... I was thinking it was split like aides and HIV uponit7771 Mar 2020 #25
Correct me if I am wrong, Corona virus is a family of viruses. Under it you have mutations of it. Vivienne235729 Mar 2020 #46
This is all just such new territory, for me Siwsan Mar 2020 #48
That's right. JudyM Mar 2020 #56
It could be that there is at least two mutagens. Blue_true Mar 2020 #23
Now I am really thinking I had it in early January. roamer65 Mar 2020 #6
Had you traveled to China or been around someone who had? The first US case highplainsdem Mar 2020 #11
No, but I live about 20 minutes away from an international airport. roamer65 Mar 2020 #15
I had something like that in February Siwsan Mar 2020 #12
A lot of people had that jberryhill Mar 2020 #14
You are probably right. I'm certainly not going to lose any sleep over it Siwsan Mar 2020 #17
The Swine Flu that struck in 2009 was a mutant of two known Blue_true Mar 2020 #28
I have had the same thing. In fact I still have it. smirkymonkey Mar 2020 #18
A couple weeks ago it looked like I was coming down with something flu like. Blue_true Mar 2020 #35
What is "nasty water"? smirkymonkey Mar 2020 #36
It is a concoction that I make that has historically helped with Blue_true Mar 2020 #40
Oh, thanks! smirkymonkey Mar 2020 #47
It knocked whatever was coming after me on it's ass. Blue_true Mar 2020 #49
I hope you feel better soon! smirkymonkey Mar 2020 #50
I feel great. Blue_true Mar 2020 #55
My wife has had extreme fatigue, dry cough, chest tightness Drahthaardogs Mar 2020 #38
"I wish I could get an antibody test" jberryhill Mar 2020 #13
Me too.i thought I was dying with the cough. bronxiteforever Mar 2020 #19
Me too, around the super bowl ... I was under for a second or two uponit7771 Mar 2020 #27
Yes I heard it was 44% of those admitted to the hospital at that time Tribetime Mar 2020 #21
Since there are so many asymptomatic carriers, I doubt that 88% have fevers. nt pnwmom Mar 2020 #30
Those are the statistics that are coming out of China. LisaL Mar 2020 #33
I could believe that 88% of the very sickest have fevers, even here, pnwmom Mar 2020 #34
K&R, looks like we need unrestricted testing in the US uponit7771 Mar 2020 #24
I started with something Meowmee Mar 2020 #29
Good luck. I hope you feel better soon! pnwmom Mar 2020 #31
Thanks😊 just hoping I don't have it and get worse, scary stuff nt Meowmee Mar 2020 #32
Grayson sounds like he does not belong in medicine delisen Mar 2020 #37
Sounds like what I had a month ago... Goodheart Mar 2020 #39
I know a woman who had upper respiratory symptoms when she was contacted pnwmom Mar 2020 #41
Great have been fighting allergies for past 3 weeks marlakay Mar 2020 #44
Sneezing is definately not a symptom of Covid-19 flamingdem Mar 2020 #51
That is possible if 1,500 different strains CountAllVotes Mar 2020 #52
I've read where some people also have a real brief fever spike dropping quickly duforsure Mar 2020 #53
Interesting that so many of us had a similar experience... Sancho Mar 2020 #54
 

Hoyt

(54,770 posts)
1. Sounds like a lot of people are going to ER just because they have cough, etc. That is not a reason
Sun Mar 22, 2020, 08:54 PM
Mar 2020

to go to the ER.

pnwmom

(108,980 posts)
9. Remember that in 14 states without the Medicaid expansion, the only way to get medical care
Sun Mar 22, 2020, 09:31 PM
Mar 2020

is to go to Emergency Rooms because ER rooms cannot turn them away.

But people can feel terrible with aches, pains, diarrhea, breathing issues, and other problems without having a fever high enough for doctors to test them for Covid-19. That's unfortunate because many actual Covid19 cases don't have a fever.

LisaL

(44,973 posts)
2. I think you misunderstood.
Sun Mar 22, 2020, 08:57 PM
Mar 2020

He says 44 % of people showing up in the hospitals with cough and congestion have fever, not that only 44% of covid patients have fever.

pnwmom

(108,980 posts)
8. That's not how I understood it in the context of this:
Sun Mar 22, 2020, 09:28 PM
Mar 2020

Allergist–immunologist Grayson also noted one particularly concerning observation in updated CDC guidance about presenting signs and symptoms of COVID-19 is that not all patients are febrile.

LisaL

(44,973 posts)
16. Not all patients have fever, that's true.
Sun Mar 22, 2020, 09:48 PM
Mar 2020

But when he says 44% show up without fever, he is talking about everybody who shows up.

pnwmom

(108,980 posts)
20. I don't think so. The whole point of those paragraphs is that people with Covid-19
Sun Mar 22, 2020, 10:04 PM
Mar 2020

might be overlooked because many of them don't have fevers.

Blue_true

(31,261 posts)
22. So the thing with measuring their temperatures will fail, and they
Sun Mar 22, 2020, 10:14 PM
Mar 2020

will go on to spread the virus.

The scary thing about COVID-19 is in the word "novel". So much is unknown. The fact that we have a clown leading the effort to better understand it also is scary.

radius777

(3,635 posts)
43. Agree. Many assumptions are being made,
Mon Mar 23, 2020, 12:15 AM
Mar 2020

such as if you get it you will have immunity. We don't know this for sure, or how the virus mutates. Remember the common flu requires a new vaccine every year because it changes, and any prior immunity is null and void.

LisaL

(44,973 posts)
26. This is the paragraph you are talking about.
Sun Mar 22, 2020, 10:29 PM
Mar 2020

What he says there he doesn't know if people who show up, 44% of whom have fever, could have covid or could have allergies. That's why he says "I have no idea" what they have.

""What's scaring me is that only 44% are presenting to the hospital with fever. Cough, congestion, and rhinorrhea could be allergies — or it could also be COVID-19. I have no idea, and now they're standing in front of my nurses coughing in their faces — great," he told Medscape Medical News. "
https://www.medscape.com/viewarticle/927264?fbclid=IwAR3nL8BkEe2kKA00nG2_jwA6QpaCuk8BbHaEW4fGdppg1J0Lle-5S2lzqJA#vp_2

Vivienne235729

(3,384 posts)
45. According to a specialist from John Hopkins 20% are afebrile at time of diagnosis
Mon Mar 23, 2020, 12:26 AM
Mar 2020

But then, I read somewhere else that it was 40+% that are afebrile so this makes sense. I have been screaming from the rooftops that checking a temp is not enough. We need to be testing nearly everyone. Like they did in S. Korea.

Siwsan

(26,272 posts)
3. Is it possible to have this novel coronavirus but NOT Covid-19?
Sun Mar 22, 2020, 08:59 PM
Mar 2020

As in, if you are asymptomatic, or your symptoms are mild or moderate enough to be manageable at home would you still be considered to have the actual disease (Covid-19)? This is where I get really confused.

Siwsan

(26,272 posts)
5. I was under the (mis)understanding that coronavirus was the virus that caused the disease Covid19
Sun Mar 22, 2020, 09:20 PM
Mar 2020

As in the way the rubella virus causes the disease measles. I also understand that there are lots of coronaviruses that are just not as virulent so you can come down with one that has no connection to Covid-19. It makes the head spin.

I guess it all boils down to vulnerabilities in the individual's immune system. Fortunately, up to this point in my life, mine has been pretty healthy. Hope that holds true.

Lochloosa

(16,066 posts)
7. SARS, Bird Flu ect. Are a coronavirus. There just not a "novel" virus.
Sun Mar 22, 2020, 09:26 PM
Mar 2020

Covid-19 is the official name of this virus. Some people have immunity to the others so they are not considered novel anymore.

Siwsan

(26,272 posts)
10. I've seen it referred to as a 'novel' virus. There's just so much out there, it's hard to sift facts
Sun Mar 22, 2020, 09:34 PM
Mar 2020

That whole 'novel' label was kind of confusing, to me, but then I've never had to deal with stuff like this. Heck, I've never even had the flu.

Thanks, again!

radius777

(3,635 posts)
42. Covid-19 is caused by SARS-CoV-2
Sun Mar 22, 2020, 11:57 PM
Mar 2020
https://en.wikipedia.org/wiki/Coronavirus_disease_2019
Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease was first identified in 2019 in Wuhan, Central China, and has since spread globally, resulting in the 2019–20 coronavirus pandemic.

It's a new (novel) coronavirus.

If you test positive for the virus you have Covid-19, whether or not you show symptoms.

IOW, there's no classification of degree, like with HIV, where one can test positive but not yet have 'full blown' AIDS.

Vivienne235729

(3,384 posts)
46. Correct me if I am wrong, Corona virus is a family of viruses. Under it you have mutations of it.
Mon Mar 23, 2020, 12:29 AM
Mar 2020

Like SARS. And now SARS-Covid-19. And even the one we have now has already mutated into 2 strains: the L and S strains.

Blue_true

(31,261 posts)
23. It could be that there is at least two mutagens.
Sun Mar 22, 2020, 10:25 PM
Mar 2020

One causes a fever, the other doesn't.

When the Swine Flu struck the USA in 2009, what made corralling it so difficult was that the strain that stuck was novel, and had taken genetic material from two strains of Swine Flu, yet didn't respond to therapy the same way either of it's predecessors did.

I easy see COVID-19 getting into 30-40 million people easily. If the current 1.4% fatality rate holds, that works out to 420,000-560,000 dead people. I just don't see Trump displaying leadership competence, nor do I expect him to.

roamer65

(36,745 posts)
6. Now I am really thinking I had it in early January.
Sun Mar 22, 2020, 09:23 PM
Mar 2020

My sinuses went berserk and I had this awful dry cough for about 3 weeks. Sinus drainage like crazy. It was weird cuz I don’t normally have allergy issues in January.

I wish I could get an antibody test. If I am positive I have resolved it and my plasma could be useful others.

The numbers of positive tests are going to go way UP because it’s been here longer than we think.

highplainsdem

(49,005 posts)
11. Had you traveled to China or been around someone who had? The first US case
Sun Mar 22, 2020, 09:37 PM
Mar 2020

wasn't identified till January 21st.

Siwsan

(26,272 posts)
12. I had something like that in February
Sun Mar 22, 2020, 09:38 PM
Mar 2020

No fever, no fatigue, no aches and pains, no breathing problems. Just a scratchy throat for a few hours then abundantly flowing sinuses and a mild cough that seemed to go on and on. I still have a little bit of an occasional cough and sneezing but I think the sneezing has more to do with allergies.

I wonder if future blood screens will include something to see if people have the antibody.

 

jberryhill

(62,444 posts)
14. A lot of people had that
Sun Mar 22, 2020, 09:41 PM
Mar 2020

We had a thread on this a while back. In fact, I was slumming over at Freeperville the other night to check in on the non-contacted tribe there, and they were going on about the same thing.

I had gone in for my physical shortly after it resolved, and my doc said, "Yeah, there's a thing going around."

I doubt that thing was this, primarily because of the absence of significant mortality at the time.

Siwsan

(26,272 posts)
17. You are probably right. I'm certainly not going to lose any sleep over it
Sun Mar 22, 2020, 09:48 PM
Mar 2020

All I can do is take every precaution I can, now, to avoid this virus. My county has just recently started to get tests back. We're up to 14 identified cases. When it was at 7, at least 4 of those cases were able to self quarantine at home. The reporting has pretty much given up on including such details, now.

Blue_true

(31,261 posts)
28. The Swine Flu that struck in 2009 was a mutant of two known
Sun Mar 22, 2020, 10:31 PM
Mar 2020

strains. I think that it has been reported that China did not see the mortality level difference between males and females that our country and Europe are seeing. Could we be dealing with one or two mutants of the virus?

 

smirkymonkey

(63,221 posts)
18. I have had the same thing. In fact I still have it.
Sun Mar 22, 2020, 09:50 PM
Mar 2020

I have been blaming it on allergies, but I can't be sure.

I had a terrible cold with a violent cough from the end of Thanksgiving through New Year's. It kind of subsided, but hasn't really gone away completely. Mostly sinus congestion and some residual coughing which I have attributed to post-nasal drip, but some days it is pretty bad.

Still, I have not had a fever or any body aches. However I have had some intestinal distress off and on. I did go through something like this about 15 years ago when I lived in NYC, where I just seemed to have this cold that lingered all winter long. I finally went to a specialist who told me my lungs were clear and suggested that I do nasal irrigation for a number of days, and it worked. I think I might need to do that again, as much as I hated it.

Blue_true

(31,261 posts)
35. A couple weeks ago it looked like I was coming down with something flu like.
Sun Mar 22, 2020, 10:40 PM
Mar 2020

I don't have a problem now. I have always had a dry cough, with something seemingly stuck in my throat, flum that won't clear, I inherited that from my Mom. When things seemed to have gotten worse, I drank a concoction that I call "nasty water", thinking that I would call my Doctor's office in the AM. When I awoke the problem was better and hasn't come back. I continue to drink nasty water at least once on most days since, beats whatever I was getting.

Blue_true

(31,261 posts)
40. It is a concoction that I make that has historically helped with
Sun Mar 22, 2020, 11:00 PM
Mar 2020

the inherited problem that I have clearing flum from my throat during dry and pollen heavy periods.

It is 12 ounces of boiling purified water or distilled water (I guess you can use tap, I never do), 1 tablespoon of raw honey, 1 teaspoon of sugar, 1 teaspoon of cinnamon, 1/2 teaspoon of ground nutmeg, 1/2 teaspoon of ground cloves. The aroma is nice, the taste is tolerable, but given what it does for me, I will take the taste any day.

Blue_true

(31,261 posts)
49. It knocked whatever was coming after me on it's ass.
Mon Mar 23, 2020, 11:19 PM
Mar 2020

Last edited Tue Mar 24, 2020, 05:57 PM - Edit history (1)

I developed a headache and was lethargic, two things which seldom happen to me.Because December-January weather seemed warmer for me and I didn't develop the throat issue for a while, I stopped making the concoction, until I got the headache and actually went to bed at 8pm one day, because I was not feeling chipper.

Drahthaardogs

(6,843 posts)
38. My wife has had extreme fatigue, dry cough, chest tightness
Sun Mar 22, 2020, 10:55 PM
Mar 2020

Sore throat, but no fever. A co-worker had the same and had just traveled.

I caught it too now, and I DO have a low grade fever, no fatigue though, and no sore throat.

It has been hanging around for almost two weeks. Is it COVID-19? I'll never know unless an ELISA test comes out.

 

jberryhill

(62,444 posts)
13. "I wish I could get an antibody test"
Sun Mar 22, 2020, 09:39 PM
Mar 2020

Yep. It would be extremely useful, as things move forward, to identify persons who have had it. There have been anecdotal reports of reinfection, but there are anecdotal reports of alien abductions too, so...

But, in any event, there was "thing" that seemed to have gone around in January that a lot of people seem to have had.

However, the thing about that "thing" was that it didn't result in a significant uptick in the kind of massive lung infection and damage that seems to be the course in a significant number of covid-19 cases.

So, I'm inclined to think (and yes I had that "thing" too) that it's a heaping helping of wishful thinking that we might have had it already.

But, yeah, I had it just after getting back from an international conference toward the end of January.

bronxiteforever

(9,287 posts)
19. Me too.i thought I was dying with the cough.
Sun Mar 22, 2020, 09:57 PM
Mar 2020

Lasted four weeks and I got it in January. I had intermittent chills too.
I swear I had this.

Tribetime

(4,699 posts)
21. Yes I heard it was 44% of those admitted to the hospital at that time
Sun Mar 22, 2020, 10:07 PM
Mar 2020

And 88% of everybody who got the virus would have a fever

pnwmom

(108,980 posts)
34. I could believe that 88% of the very sickest have fevers, even here,
Sun Mar 22, 2020, 10:40 PM
Mar 2020

simply because they're screening people out of hospitals if they don''t have high fevers.

But that doesn't mean 88% of people with the virus have fevers.

Meowmee

(5,164 posts)
29. I started with something
Sun Mar 22, 2020, 10:34 PM
Mar 2020

In late January and when I went to a clinic in early February they were already scared and wearing masks. I had a low fever at some point briefly. They decided it was not covid 19 and I took two courses antibiotics for what was then definitely a bad sinus infection. I was also coughing etc. it started with a terrible runny nose, aches etc which went away after a day but which kept coming back. Now I started with first stomach upset and now a consistent cough and what seems like bronchitis yesterday. I have had a low fever briefly on and off. Still no test but my doc did bw friday and wbc is ok so he thinks it is not covid 19. I started taking lysine yesterday, resting a lot and I feel a bit better. My county has 1034 known cases now. I would like an antibody test as well.

Goodheart

(5,334 posts)
39. Sounds like what I had a month ago...
Sun Mar 22, 2020, 10:58 PM
Mar 2020

I thought it was the weirdest cold ever. Weak, not a whole lot of head congestion, breathing a bit labored, but no fever.

This is weird, I thought... maybe the flu, instead? But, no, I don't have a fever. What gives.

I know a couple of other people with the same symptoms.


pnwmom

(108,980 posts)
41. I know a woman who had upper respiratory symptoms when she was contacted
Sun Mar 22, 2020, 11:05 PM
Mar 2020

by her airline to tell her she'd been exposed to the virus. When she called her public health dept. they wouldn't test her because her fever wasn't HIGH ENOUGH.

marlakay

(11,477 posts)
44. Great have been fighting allergies for past 3 weeks
Mon Mar 23, 2020, 12:20 AM
Mar 2020

Sneezing, sinus headaches, runny nose, etc.

I didn’t go out until it was almost gone since I am retired, now mild symptoms but just when i do dog walks from being near trees, etc

I guess I figured if it was more I would get fever, major aches and breathing problems.

CountAllVotes

(20,876 posts)
52. That is possible if 1,500 different strains
Tue Mar 24, 2020, 03:50 AM
Mar 2020

One researcher thought there were as many as 1,500 strains of COVID-19.

If this is true, that would explain why there are so many different symptoms when it presents.



duforsure

(11,885 posts)
53. I've read where some people also have a real brief fever spike dropping quickly
Tue Mar 24, 2020, 05:43 AM
Mar 2020

Thinking it was a fluke, then came down with it. We check temperature , oxygen, heart rate with a finger clip on, blood pressure, and monitor it closely with the wife. We know if it gets really bad where we live we could be not able to get the help we need if the hospitals are over ridden and unable to provide anything to help.

Sancho

(9,070 posts)
54. Interesting that so many of us had a similar experience...
Tue Mar 24, 2020, 06:02 AM
Mar 2020

...my wife and I had a bad cold in Feb. No fever, but all the other symptoms.

The doc said he couldn't not always tell what was allergy or cold or flu, and he could not get a covid-19 test at that time.

The answer to this mess is rapid and available testing (like South Korea did effectively).

Right now, we go out for groceries or medicine, but much of Florida is business as usual.

Our schools are shut down, so we are teaching on line from home.

Latest Discussions»General Discussion»*** Important COVID-19 st...