Symptoms of the COVID-19 in ENT
DOI:
https://doi.org/10.56294/shp2025244Keywords:
AGEUSIA, ANOSMIA, COVID-19, PANDEMIC, HEARING LOSS, SYMPTOMSAbstract
Introduction: We are currently facing a global pandemic of great impact due to the rapid spread of a novel coronavirus, SARS-CoV-2, the causative agent of COVID-19. It is important to highlight that some of the symptoms included in the clinical presentation of the disease involve the ear, nasal cavity and sinuses, and pharynx—areas within the scope of the otolaryngology (ENT) specialist.
Objective: To characterize the main otolaryngological symptoms of COVID-19.
Method: A literature review was conducted, consulting original articles, case reports, and systematic reviews available in open-access, peer-reviewed academic publications from the last five years. Databases reviewed included ScieELO, Regmed, Dialnet, Mayoclinic, among others. Search terms included COVID-19 symptoms in ENT as well as their English translations.
Results: The clinical presentation of COVID-19 is very broad and includes a wide variety of symptoms that overlap with other diseases. Among these, symptoms affecting the ears, nasal cavity and sinuses, and pharynx stand out, which fall within the field of the ENT specialist. Examples include loss of taste, loss of smell, and sore throat.
Conclusions: In the context of the COVID-19 pandemic, consultations related to alterations in smell and taste have increased significantly, often appearing without other accompanying symptoms, thus becoming a form of presentation of the disease. Additionally, we find catarrhal symptoms such as rhinorrhea and sore throat, which—with distinguishable and specific characteristics—could serve as warning signs of the presence of SARS-CoV-2 in the body.
References
De Wit E, van Doremalen N, Falzarano D, Munster V. SARS and MERS: recent insights into emerging coronaviruses. Nat Rev Microbiol 2016; 14: 523-34. Consultado el 2 de agosto de 2021.
Asadi S, Bouvier N, Wexler AS, Ristenpart WD. The coronavirus pandemic and aerosols: Does COVID-19 transmit via expiratory particles? Aerosol Science and Technology 2020; 54: 635-8. Consultado el 3 de agosto de 2021.
World Health Organization. Coronavirus disease 2019 (COVID-19) Situation Report – 97. WHO [Internet]. 2020. [citado 2021 Ago 7]. Disponible en: https://www.who.int/emergencies/diseases/novel-coronavirus 2019/situation-reports/. Consultado el 7 de agosto de 2021.
Siordia J. Epidemiology and clinical features of COVID-19: A review of current literature. Journal of Clinical Virology 2020; 127. Consultado el 7 de agosto de 2021.
Lovato A, de Filippis a, Marioni G. Upper airway symptoms in coronavirus disease 2019 (COVID-19). American J Otolaryngol-Head and Neck Medicine and Surgery 2020. Consultado el 7 de agosto de 2021.
Wu Z, McGoogan JM. Characteristics of and Important Lessons from the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases from the Chinese Center for Disease Control and Prevention. JAMA [Internet]. 2020. Disponible en: https://jamanetwork.com/journals/jama/fullarticle/2762130. Consultado el 7 de agosto de 2021.
Lavinsky J, Kosugi EM, Baptistella E, et al. An update on COVID-19 for the otorhinolaryngologist - a Brazilian Association of Otolaryngology and Cervicofacial Surgery (ABORL-CCF) Position Statement. Braz J Otorhinolaryngol 2020; 885: 1-8. Consultado el 7 de agosto de 2021.
Krajewska J, Krajewski W, Zub K, Zatonski T. COVID-19 in otolaryngologist practice: a review of current knowledge. Eur Arch Otorhinolaryngol 2020. Consultado el 7 de agosto de 2021.
Colectivo de autores. Síntomas comunes de la COVID-19 con otras afecciones del tracto respiratorio. Diagnóstico Diferencial. Marzo 2020. Consultado el 7 de agosto de 2021.
Scangas GA, Bleier BS. COVID-19: Differential Diagnosis, Evaluation, and Management. Am J Rhinol Allergy 2019; 31(1): 3-7. Consultado el 7 de agosto de 2021.
Smith T, Bhatnagar K. Chapter 2 - Anatomy of the Olfactory System. Handbook of Clinical Neurology 2019; 164: 17-28. Consultado el 7 de agosto de 2021.
Hopkins C, Kumar N. Loss of sense of smell as marker of COVID-19 infection. ENT UK [Internet]. Disponible en: https://www.entuk.org/sites/default/files/files/Loss%20of%20sense%20of%20smell%20as%20marker%20of%20COVID.pdf. Consultado el 7 de agosto de 2021.
Gane S, Kelly C, Hopkins C. Isolated sudden onset anosmia in COVID-19 infection. A novel syndrome? Rhinology 2020; 58. Consultado el 7 de agosto de 2021.
Machado C, Gutierrez J. Anosmia and Ageusia as Initial or Unique Symptoms after SARS-COV-2 Virus Infection. Preprints 2020. Consultado el 7 de agosto de 2021.
Carrillo B, Carrillo V, Astorga A, Hormachea D. Diagnóstico en la patología del olfato: Revisión de la literatura. Rev Otorrinolaringol Cir Cabeza Cuello 2017; 77: 351-60. Consultado el 7 de agosto de 2021.
Fuentes A, Fresno MJ, Santander H, Valenzuela S, Gutiérrez MF, Millares R. Sensopercepción gustativa post COVID-19: una revisión. Rev Med Chile 2019; 139: 362-7. Consultado el 7 de agosto de 2021.
Boesveldt S, Postma E M, Boak D, et al. Ageusia - A Clinical Review. Chemical Senses 2017; 42: 513-23. Consultado el 7 de agosto de 2021.
Vigiliano, Melisa. ¿Cómo afecta el covid-19 a la audición? 2020. Disponible en: https://www.clinicasagradafamilia.com/es/blog/22/como-afecta-el-covid-19-a-la-audicion. Consultado el 7 de agosto de 2021.
Colectivo de autores. ¿Nuevo síntoma?: El coronavirus podría alojarse en el oído. 2020. Disponible en: https://www.google.com/amp/s/www.baenegocios.com/amp/saludybienestar/Nuevo-sintoma-El-coronavirus-podria-alojarse-en-el-oido-de-acuerdo-con-investigadores-20200827-0059.html. Consultado el 7 de agosto de 2021.
Colectivo de autores. Acta Otorrinolaringológica Española. Available online 11 May 2020. Alteraciones del olfato en la COVID-19, revisión de la evidencia e implicaciones en el manejo de la pandemia. Olfactory dysfunction in COVID-19. Consultado el 7 de agosto de 2021.
Daramola 00, Becker SS. An algorithmic approach to the evaluation and treatment of aural disorders. Curr Opin Otolaryngol Head Neck Surg 2015; 23: 8-14. Consultado el 7 de agosto de 2021.
Colectivo de autores. El covid 19 empeoraría el zumbido en el oído. 2020. Disponible en: https://www.elcomercio.com/tendencias/covid-zumbido-oido-salud-sintomas.html. Consultado el 7 de agosto de 2021.
Alaro, Jorge. Consecuencias del confinamiento en oído y garganta. Abril 2020. Disponible en: https://www.doctologia.es/otorrinolaringologia/consecuencias-confinamiento-oido-garganta/. Consultado el 7 de agosto de 2021.
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