The initial presentation of COVID-19 is similar to other respiratory viral infections. Fever and cough are the most common signs at presentation, followed by muscle aches, confusion, and more rarely, sore throat, rhinorrhea, and chest pain (6, 7) (Fig. 1). The COVID-19 cough is often characterized as "dry," and patients may have labored or rapid breathing (6, 8). There may also be disturbances to taste and smell perception (D.