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Otolaryngologic Manifestation and Long-Term Outcome in Mild COVID-19: Experience from a Tertiary Care Centre in India.
Panda, Smriti; Mohamed, Adil; Sikka, Kapil; Kanodia, Anupam; Sakthivel, Pirabu; Thakar, Alok; Bhatnagar, Sushma; Mohan, Anant; Meena, Ved Prakash; Tiwari, Pavan; Sahoo, Biswajeet; Dar, Lalit; Vig, Saurabh; Garg, Rohit; Kumar, Chitresh.
  • Panda S; Department of Otorhinolaryngology and Head and Neck Surgery, Teaching Block 4th Floor, All India Institute of Medical Sciences, New Delhi, Ansar Nagar East, New Delhi, 110029 India.
  • Mohamed A; Department of Otorhinolaryngology and Head and Neck Surgery, Teaching Block 4th Floor, All India Institute of Medical Sciences, New Delhi, Ansar Nagar East, New Delhi, 110029 India.
  • Sikka K; Department of Otorhinolaryngology and Head and Neck Surgery, Teaching Block 4th Floor, All India Institute of Medical Sciences, New Delhi, Ansar Nagar East, New Delhi, 110029 India.
  • Kanodia A; Department of Otorhinolaryngology and Head and Neck Surgery, Teaching Block 4th Floor, All India Institute of Medical Sciences, New Delhi, Ansar Nagar East, New Delhi, 110029 India.
  • Sakthivel P; Department of Otorhinolaryngology and Head and Neck Surgery, Teaching Block 4th Floor, All India Institute of Medical Sciences, New Delhi, Ansar Nagar East, New Delhi, 110029 India.
  • Thakar A; Department of Otorhinolaryngology and Head and Neck Surgery, Teaching Block 4th Floor, All India Institute of Medical Sciences, New Delhi, Ansar Nagar East, New Delhi, 110029 India.
  • Bhatnagar S; Department of Oncoanesthesia, All India Institute of Medical Sciences, New Delhi, New Delhi, India.
  • Mohan A; Department of Pulmonary Medicine, All India Institute of Medical Sciences, New Delhi, New Delhi, India.
  • Meena VP; Department of Medicine, All India Institute of Medical Sciences, New Delhi, New Delhi, India.
  • Tiwari P; Department of Pulmonary Medicine, All India Institute of Medical Sciences, New Delhi, New Delhi, India.
  • Sahoo B; Department of Microbiology, All India Institute of Medical Sciences, New Delhi, New Delhi, India.
  • Dar L; Department of Microbiology, All India Institute of Medical Sciences, New Delhi, New Delhi, India.
  • Vig S; Department of Oncoanesthesia, All India Institute of Medical Sciences, New Delhi, New Delhi, India.
  • Garg R; Department of Medicine, All India Institute of Medical Sciences, New Delhi, New Delhi, India.
  • Kumar C; Department of Surgical Oncology, All India Institute of Medical Sciences, New Delhi, New Delhi, India.
Indian J Otolaryngol Head Neck Surg ; 73(1): 72-77, 2021 Mar.
Article in English | MEDLINE | ID: covidwho-880351
ABSTRACT
This study endeavours to comprehensively the study the spectrum of ENT manifestations in mild and asymptomatic COVID-19 and observe the natural course of anosmia and dysgeusia consequent to SARS-Cov-2 infection. A prospective cohort study was undertaken at a tertiary care centre in India on admitted patients with RT-PCR proven COVID-19. Patients were included provided the baseline National Early Warning Score (NEWS) was less than 4. Patients were screened for ENT manifestations using a questionnaire at baseline, 7 days, 14 days and 28 days. 225 patients were included in the study. Of these complete data at 4 weeks was available for 210. Out of 145 patients with mild COVID-19 (asymptomatic = 80), ENT manifestations accounted for 66.2% of all symptoms. Smell and taste disturbance had an overall incidence of 20% and 45% of ENT manifestations. Temporal trends of the recovery rate of anosmia and dysgeusia were 53.6% and 66.7% at 2 weeks, respectively. Corresponding rates at 3 weeks were 89.29% and 86.7%, respectively. By the end of 4 weeks 96% of the patients had recovered completely. The incidence of anosmia and dysgeusia in this study parallels the rates reported from other Asian countries, albeit, lower than the rates quoted from the Western Hemisphere. We recommend structured reporting of all ENT manifestations especially smell and taste disturbances to accurately identify individuals infected with SARS-Cov-2.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study / Qualitative research Topics: Long Covid Language: English Journal: Indian J Otolaryngol Head Neck Surg Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study / Qualitative research Topics: Long Covid Language: English Journal: Indian J Otolaryngol Head Neck Surg Year: 2021 Document Type: Article