  {"id":3230,"date":"2022-03-08T13:23:34","date_gmt":"2022-03-08T13:23:34","guid":{"rendered":"https:\/\/thepafp.org\/journal\/?post_type=abstract&#038;p=3230"},"modified":"2022-03-08T13:30:37","modified_gmt":"2022-03-08T13:30:37","slug":"recurrent-headache-as-a-post-covid-19-sequela-a-case-report","status":"publish","type":"abstract","link":"https:\/\/thepafp.org\/journal\/abstract\/recurrent-headache-as-a-post-covid-19-sequela-a-case-report\/","title":{"rendered":"Recurrent Headache as a Post-COVID-19 Sequela: A Case Report"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:30px;--awb-padding-right:0px;--awb-padding-bottom:0px;--awb-padding-left:0px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:#ffffff;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-space-between fusion-flex-content-wrap\" style=\"max-width:calc( 1200px + 10px );margin-left: calc(-10px \/ 2 );margin-right: calc(-10px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:80%;--awb-margin-top-large:0px;--awb-spacing-right-large:5px;--awb-margin-bottom-large:10px;--awb-spacing-left-large:5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:5px;--awb-spacing-left-medium:5px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:5px;--awb-spacing-left-small:5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:#333333;--awb-margin-top:0px;--awb-margin-bottom:10px;\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:31;line-height:1.2;\">Recurrent Headache as a Post-COVID-19 Sequela: A Case Report<\/h2><\/div><div class=\"fusion-text fusion-text-1\" style=\"--awb-font-size:16px;--awb-line-height:1.2;--awb-text-transform:none;--awb-text-color:#666666;--awb-margin-top:0px;--awb-text-font-family:Georgia, serif;\"><p>Ian Jonathan N. Tiotangco, MD and Geannagail O. Anuran, MD<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion-flex-column\" style=\"--awb-padding-top:30px;--awb-padding-right:30px;--awb-padding-bottom:30px;--awb-padding-left:30px;--awb-bg-size:cover;--awb-border-color:var(--awb-color2);--awb-border-top:1px;--awb-border-right:1px;--awb-border-bottom:1px;--awb-border-left:1px;--awb-border-style:solid;--awb-width-large:20%;--awb-margin-top-large:10px;--awb-spacing-right-large:5px;--awb-margin-bottom-large:10px;--awb-spacing-left-large:5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:5px;--awb-spacing-left-medium:5px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:5px;--awb-spacing-left-small:5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-1 fusion-button-span-yes \" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#781010;--button-border-radius-top-left:0;--button-border-radius-top-right:0;--button-border-radius-bottom-right:0;--button-border-radius-bottom-left:0;--button_gradient_top_color:#e6b733;--button_gradient_bottom_color:#e6b733;--button_gradient_top_color_hover:var(--awb-color4);--button_gradient_bottom_color_hover:var(--awb-color4);--button_font_size:12px;--button_typography-font-family:Arial, Helvetica, sans-serif;--button_typography-font-style:normal;--button_typography-font-weight:400;\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/thepafp.org\/journal\/wp-content\/uploads\/2022\/03\/Âé¶¹Ö±²¥-Journal_July_December-59-2-2021-pages-218-221.pdf\"><span class=\"fusion-button-text\">View Full Text<\/span><\/a><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-right:0px;--awb-padding-left:0px;--awb-margin-top:0px;--awb-margin-bottom:50px;--awb-background-color:#ffffff;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:10px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:10px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\" style=\"--awb-text-transform:none;\"><p>Post-COVID condition is the presence of new, recurring, or ongoing signs and symptoms for greater than four weeks after a SARS-CoV-2 infection. Persistent headache as a neurologic sequalae of COVID-19 infection is a common prolonged symptom with limited characterization in the literature.<\/p>\n<p>This was a case of a 27-year-old female diagnosed with mild COVID-19 who presented with fever, colds, fatigue, headache, decreased hearing, sore throat, dry cough, pleuritic chest pain, anosmia, ageusia, myalgia, fatigue, and severe low back pain. Headache was described as remitting, frontally located, squeezing and moderate to severe in pain intensity. She was admitted in a tertiary COVID referral hospital for 8 days and was managed supportively. On the 10<sup>th<\/sup> day of illness, symptoms had resolved except for an on and off headache. The residual recurrent headache lasted for more than 5 months after being tested negative for SARS-COV2 on repeat reverse transcriptase-polymerase chain reaction (RT-PCR).<\/p>\n<p>The possible pathophysiologic mechanisms for neurologic manifestations and prolonged headache were hypoxia, endothelial damage through angiotensin converting enzyme receptor, and cytokine reactions. The characteristics of the symptoms remained unclear despite the proposed mechanisms for prolonged headache among COVID-19 patients.<\/p>\n<p>Keywords: <em>post-COVID-19 syndrome, recurrent headache; prolonged symptoms; case report<\/em><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[14,18],"tags":[16],"class_list":["post-3230","abstract","type-abstract","status-publish","hentry","category-abstract","category-abstract_2021_vol59_issue2","tag-abstract"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/abstract\/3230","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/abstract"}],"about":[{"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/types\/abstract"}],"version-history":[{"count":2,"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/abstract\/3230\/revisions"}],"predecessor-version":[{"id":3234,"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/abstract\/3230\/revisions\/3234"}],"wp:attachment":[{"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/media?parent=3230"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/categories?post=3230"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/tags?post=3230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}