Prevalence of ENT manifestations in Moderate and Severe COVID-19
Resumen
Objective: The goal of this study was to detect, analyze and describe the presence of Otorhinolaryngology manifestations in patients with moderate and severe COVID-19 disease.
Material and Methods: 300 patients with laboratory diagnosis of COVID-19 between October and December of 2020 and with hospitalization, were asked about ENT manifestations, such as, nasal congestion, rhinorrhea, odynophagia, headache and smell and taste dysfunctions.
Results: Of the 330 patients, Otorhinolaryngology symptoms were detected in 65 patients. The median age of the patients was 59,29 years. ENT symptoms started an average 5,52 days before the clinical worsening. The most common findings were rhinorrhea (n=28), headache (n=27), odynophagia (n=21) and smell dysfunction (n=18). Rhinorrhea and loss of smell were the most common complaints as a single symptom. On the other hand, isolated nasal congestion or loss of taste were not found in the sample. The most common triad found was nasal congestion, rhinorrhea and headache.
Conclusion: We concluded that one in five patients who progress to moderate or severe disease had ENT symptoms previously and not only lower respiratory symptoms and we must be aware of them.
Palabras clave
Referencias
Chakraborty C, Sharma AR, Sharma G, Bhattacharya M, Lee SS. SARS-CoV-2 causing pneumonia-associated respiratory disorder ( COVID-19 ): diagnostic and proposed therapeutic options. 2020;(Table I):4016-4026.
Lovato A, Filippis C De. Clinical Presentation of COVID-19 : A Systematic Review Focusing on Upper Airway Symptoms. 2020;99(9):569-576. doi:10.1177/0145561320920762
Hu B. Characteristics of SARS-CoV-2 and COVID-19. Nat Rev Microbiol. 2019;(December). doi:10.1038/s41579-020-00459-7
Savtale S. Prevalence of Otorhinolaryngological Symptoms in Covid 19 Patients. Indian J Otolaryngol Head Neck Surg. Published online 2021. doi:10.1007/s12070-021-02410-5
Umakanthan S, Sahu P, Ranade A V, et al. Origin , transmission , diagnosis and management of coronavirus disease 2019 ( COVID-19 ). 2020;2019:753-758. doi:10.1136/postgradmedj-2020-138234
Duan G. Virology, Epidemiology, Pathogenesis, and Control of COVID-19. Published online 2020:1-17.
Panda S, Mohamed A, Sikka K, Kanodia A. Otolaryngologic Manifestation and Long-Term Outcome in Mild COVID-19 : Experience from a Tertiary Care Centre in India. Indian J Otolaryngol Head Neck Surg. 2021;73(1):72-77. doi:10.1007/s12070-020-02217-w
El-anwar MW, Elzayat S, Ahmed Y. ENT manifestation in COVID-19 patients. 2020;47:559-564. doi:10.1016/j.anl.2020.06.003
Sun P, Qie S, Liu Z, Ren J. Clinical characteristics of hospitalized patients with SARS ‐ CoV ‐ 2 infection : A single arm meta ‐ analysis. 2020;(February):1-6. doi:10.1002/jmv.25735~
Guan W, Ni Z, Hu Y, et al. Disease 2019 in China. Published online 2020. doi:10.1056/NEJMoa2002032
Enlaces refback
- No hay ningún enlace refback.