Oral Lesions Associated with Post-COVID-19: Disease Sequels or Secondary Infection?

Abstract

The aim of this study was to report the presentation of oral lesions found in a post-COVID-19 patient. A 78-year-old female patient fifteen days post-COVID-19, confirmed through the PCR test, had pain in the mouth with a Visual Analogue Scale (VAS) 8, dysgeusia and odynophagia. Erosive lesions were observed with circumscribed halos, of different sizes along the entire length of the dorsum, bilateral margins of the tongue and labial mucosa. Topical use of vitamin E 40 mg, nystatin oral suspension 100000UI and artificial saliva spray was prescribed. After 14 days, complete repair was observed. However, the patient worsened her respiratory failure and died after 2 days. There is still insufficient evidence to confirm whether this patient's oral lesion is the result of a direct viral infection with SARS-CoV-2. The relevance of inserting the dentist in the care team for infected patients stands out and we encourage the performance of intraoral evaluation, even after medical discharge. In this way, it will be possible to understand its long-term oral manifestations of COVID-19.

Secuelas post-covid-19 en poblaciones vulnerables de Latinoamérica.

“…En los adultos con algún tipo de comorbilidad es similar, de hecho, Polese y col. (Polese et al, 2021) mencionaron reducción de la difusión pulmonar de monóxido de carbono, e incluso Madeiros y col. (Madeiros & Drumond de Abreu, 2021) especificaron el caso de una adulta mayor con lesiones bucales luego del covid-19. Por otra parte, aquellos resultados que se obtuvieron de secuelas a nivel cardiovascular se relacionan a los especificados por Picón y col. (Picón et al, 2023) dado que indicaron en su estudio principales resultados de secuelas cardiovasculares, aunque difirieron en cierto punto en secuelas como arritmias, pericarditis e insuficiencia cardiaca.…”