COVID-19 in the tonsillectomised population.
Acta Otorhinolaryngol Ital
; 41(3): 197-205, 2021 Jun.
Article
in English
| MEDLINE | ID: covidwho-1222316
ABSTRACT
OBJECTIVE:
Interactions between SARS-CoV-2 and pharyngeal associated lymphoid tissue are thought to influence the manifestations of COVID-19. We aimed to determine whether a previous history of tonsillectomy, as a surrogate indicator of a dysfunctional pharyngeal associated lymphoid tissue, could predict the presentation and course of COVID-19.METHODS:
Multicentric cross-sectional observational study involving seven hospitals in Northern and Central Italy. Data on the clinical course and signs and symptoms of the infection were collected from 779 adults who tested positive for SARS-CoV-2, and analysed in relation to previous tonsillectomy, together with demographic and anamnestic data.RESULTS:
Patients with previous tonsillectomy showed a greater risk of fever, temperature higher than 39°C, chills and malaise. No significant differences in hospital admissions were found.CONCLUSIONS:
A previous history of tonsillectomy, as a surrogate indicator of immunological dysfunction of the pharyngeal associated lymphoid tissue, could predict a more intense systemic manifestation of COVID-19. These results could provide a simple clinical marker to discriminate suspected carriers and to delineate more precise prognostic models.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Palatine Tonsil
/
Tonsillectomy
/
COVID-19
Type of study:
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
English
Journal:
Acta Otorhinolaryngol Ital
Year:
2021
Document Type:
Article
Affiliation country:
0392-100x-n1436
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