Neurosensory dysfunction: A diagnostic marker of early COVID-19

Objective: To describe neurosensory dysfunctions, including hyposmia, hypogeusia, and tinnitus, in patients with COVID-19. Methods: Clinical characteristics and oropharyngeal swabs were obtained from 86 patients with COVID-19 hospitalized in Guangzhou Eighth People’s Hospital. The chronological analysis method was used to detail neurosensory dysfunction. The cycle threshold (Ct) values were used to approximately indicate viral load. Results: Forty-four (51.2%) patients had neurosensory dysfunction: hyposmia (34, 39.5%), hypogeusia (33, 38.4%), and tinnitus (three, 3.5%). Neurosensory dysfunction was significantly more common in patients under 40 years old (p = 0.001) and women (p = 0.006). Hyposmia and hypogeusia coexisted in 23 (26.7%) patients. The interval between onset of hyposmia and hypogeusia was 0.7 ± 1.46 days. The interval from onset of hyposmia and hypogeusia to typical COVID-19 symptoms was 0.22 ± 4.57 and 0.75 ± 6.77 days; the interval from onset of hyposmia and hypogeusia to admission was 6.06 ± 6.68 and 5.76 ± 7.68 days; and the duration of hyposmia and hypogeusia was 9.09 ± 5.74 and 7.12 ± 4.66 days, respectively. The viral load was high following symptoms onset, peaked within the first week, and gradually declined. Conclusions: Neurosensory dysfunction tends to occur in the early stage of COVID-19, and it could be used as a marker for the early diagnosis of COVID-19..

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:98

Enthalten in:

International Journal of Infectious Diseases - 98(2020), Seite 347-352

Sprache:

Englisch

Beteiligte Personen:

Yujie Liang [VerfasserIn]
Jiabin Xu [VerfasserIn]
Mei Chu [VerfasserIn]
Jianbo Mai [VerfasserIn]
Niangmei Lai [VerfasserIn]
Wen Tang [VerfasserIn]
Tuanjie Yang [VerfasserIn]
Sien Zhang [VerfasserIn]
Chenyu Guan [VerfasserIn]
Fan Zhong [VerfasserIn]
Liuping Yang [VerfasserIn]
Guiqing Liao [VerfasserIn]

Links:

doi.org [kostenfrei]
doaj.org [kostenfrei]
www.sciencedirect.com [kostenfrei]
Journal toc [kostenfrei]

Themen:

COVID-19
Diagnosis
Hypogeusia
Hyposmia
Infectious and parasitic diseases
Neurosensory dysfunction

doi:

10.1016/j.ijid.2020.06.086

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

DOAJ016285433