Younger people aged 20 to 54 have shown up in the Emergency Rooms with neurologic symptoms and found to have COVID 19. An unfortunate few cases of people in the late 30s to early 50s are having cases of large vessel strokes which are usually seen if at all occurring in people in their late 60s. Neurosurgeons believe there is a clear link and the virus may make the clotting system more active either by the inflammation it causes or by some other direct factor. It is known that COVID 19 causes leaky capillaries that is responsible for the fluid in the bronchioles, low oxygenation and the fibrotic response in the lungs . Leaky capillaries contributes to the cardiomyopathy (enlarged weakened heart leading to heart failure) and kidney failure (requiring hemodialysis).
The CDC report shows that as of March 16, 2020, 508 people were hospitalized for COVID-19 in the U.S. Of these, 38% were between 20 and 54 years old. Half of those ending up in intensive care were younger than 65.
The European agencies reports that half of serious cases in France and the Netherlands are in people under age 50.
Therefore, the original thought that COVID -19 was only problematic for people over age 65 or only in younger people with asthma or immune issues are changing. Age over age 65 is still an important risk factor, especially for death or mortality, but in terms of serious illness or morbidity, younger people are not spared and in fact more atypical disease are being found as more cases are studied. Other factors such as obesity are now considered the #2 risk factor and not asthma. Stay tuned for further updates.
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