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Objective: The epidemiological and clinical manifestations, pathogenesis, and complications in patients in the acute phase of coronavirus infection are described in detail. On the other hand, the term "prolonged COVID" was introduced in early 2020, representing a multisystemic disease that can occur even after a mild course of acute disease.
Case presentation: We present the case of a 61-year-old woman who reported severe dyspnea and was previously tested positive for coronavirus. The patient experienced worsening of the health condition again, and a chest X-ray showed changes that correspond to bilateral interstitial pneumonia, and high degree atrioventricular block (AV) was verified on an electrocardiographic record (ECG). After treatment with dual antibiotic therapy and implantation of a permanent electrostimulator (pacemaker), her condition significantly improved.
Conclusion: Approximately 10% of patients with COVID-19 may have symptoms persisting beyond three weeks, which presents as post-COVID syndrome. Primary healthcare professionals have a key role in the management of these patients. Research is needed to reveal the pathogenesis, clinical spectrum, and prognosis of post-COVID syndrome.
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