How a COVID-19 positive patient can present to an otolaryngologist, a variable presentation: what not to miss?
Keywords:COVID-19, Pandemic, ENT
Background: COVID-19 has led to the global pandemic which started in Wuhan, in China. It is highly contagious and the presenting symptoms may not alarm the patient or the doctor and can be confused with allergies and other simple viral respiratory tract infections in mild cases. Aim of this study was to evaluate the various presentations of COVID-19 patients in department of otorhinolaryngology.
Methods: This study was done during pandemic, from March 2020 to May 2020 for a period of 3 months in government medical college Srinagar. If the patient had any significant travel or contact with the known or suspected COVID-19 positive patient and the various ENT symptoms with which COVID positive patients presented, to the department were evaluated.
Results: Majority of patients were males between the age group of 21 to 40 years. The most common symptoms encountered was cough and fever followed by sore throat and rhinitis. One patient also presented with subacute thyroiditis and two others as neck abscess. Two patients presented with sudden sensorineural hearing loss.
Conclusions: Patients in the department can present with mild respiratory tract infection or also with some peculiar symptoms of subacute thyroiditis or abcess. So, careful history is the key to recognize these patients. And it is highly recommended that doctors during addressing the patients should be in proper protective kits to avoid contracting the disease.
Hui DS, Azhar IE, Madani TA, Ntoumi F, Kock R, Dar O, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health: The latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis. 2020;91:264-6.
Verdecchia P, Cavallini C, Spanevello A, Angeli F. The pivotal link between ACE2 deficiency and SARS-CoV-2 infection. Euro J Internal Med. 2020;76:14-20.
Letko M, Marzi A, Munster V. Functional assessment of cell entry and receptor usage for SARS-CoV-2 and other lineage B betacoronaviruses. Nat Microbiol. 2020;5:562-9.
Harrison L, Ramsden J, Winter S, Rocke J, Heward E. Guidance for surgical tracheostomy and tracheostomy tube change during the COVID-19 pandemic. London: ENT UK. 2020;19.
Singhal T. A review of coronavirus disease-2019 (COVID-19). Indian J Pediatr. 2020;87(4):281-6.
Jin JM, Bai P, He W, Wu F, Liu XF, Han DM, et al. Gender differences in patients with COVID-19: Focus on severity and mortality. Frontiers in Public Health. 2020;8:152.
Biswas R. Are Men More Vulnerable to Covid-19 as Compared to Women?. Biomed J Sci Tech Res. 2020;27(2):20645-6.
Fisman D, Greer A, Tuite A. Standardization and Age-Distribution of COVID-19: Implications for Variability in Case Fatality and Outbreak Identification. medRxiv. 2020.
Krajewska J, Krajewski W, Zub K, Zatoński T. COVID-19 in otolaryngologist practice: a review of current knowledge. Euro Arch Oto-Rhino-Laryngol. 2020;277(7):1885-97.
Brancatella A, Ricci D, Viola N, Sgrò D, Santini F, Latrofa F. Subacute thyroiditis after SARS-CoV-2 infection. J Clin Endocrinol Metabol. 2020;105(7):276.
Mustafa MW. Audiological profile of asymptomatic Covid-19 PCR-positive cases. Am J Otolaryngol. 2020:102483.