SARS-CoV-2 infection may mask another infection

Léon, A.; Debry, Christian; Renaud, Marie Claude

doi:10.1016/j.anorl.2020.05.005

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…An article describes two adolescents who suffered sinusitis and hemorrhage with intracranial abscess and COVID-19 infection [ 6 ]. Another report describes a young man with sinusitis with intracranial complications in the context of bilateral nasal polyposis, meaning SARS-CoV-2 infection could have masked the other infection [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Since there are also studies describing the presence of SARS-Cov-2 in mastoids and the middle ear in a patient with COVID-19 [ 4 ] and patients with atypical presentations of sinusitis with COVID-19 infection [ 5 , 6 ], it is not clear if this virus could directly be related to the severity of infectious processes that might appear at this level.…”

Section: Introductionmentioning

confidence: 99%

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COVID-19 and severe ENT infections in pediatric patients. IS there a relationship?

Guillén-Lozada

Bartolome-Benito

Angel

et al. 2021

International Journal of Pediatric Otorhinolaryngology

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Background Preliminary evidence suggests that children are just as likely to become infected with SARS-CoV-2 as adults but are less prone to developing severe clinical conditions. However, there are pediatric inflammatory conditions that have also been encountered. The aim of this report is to determine whether there is a relationship between COVID-19 and severe infections in the ear, nose, throat, and deep cervical area (ENT) in pediatric populations. Materials and methods A compilation was made of all the cases of ENT area infections in the pediatric population per month attended to at the Niño Jesús University Children's Hospital from January 2010 to June 2020. Endemic channels and dispersion analysis were designed to analyze the incidence presented in the year 2020, compared to what was expected based on historical data from 2010 to 2019. Then, an epidemiological interview was conducted of the close contacts of COVID-19 of the children who presented a severe ENT infection in 2020. Finally, a serological test of IgG antibodies was performed on all of them to find out if they had overcome the COVID- 19. Results 620 patients from 1022 were eligible for the study. We observed a significant outbreak in the incidence of complicated mastoiditis and deep cervical infections with complications in the year 2020 (13 patients) linked to the COVID-19 pandemic. From these patients, 54% had been confirmed or had high suspicion of close contact with COVID-19.15.4% of children were positive in serological tests for IgG antibodies. Conclusion There has been a significant increase in mastoiditis and deep cervical infections with complications in the first four months of 2020, which constitutes an outbreak. A considerable number (54%) of these complicated infections were related to close contact with COVID-19. Still, only 15.4% were positive in serological tests for IgG antibodies, so we cannot establish a direct categorical relationship. The limitations in primary care due to a shortage of human resources in dealing with the pandemic's initial onslaught and changes in help-seeking behavior could explain increased complicated infections.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

COVID-19 and severe ENT infections in pediatric patients. IS there a relationship?

Guillén-Lozada

Bartolome-Benito

Angel

et al. 2021

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

show abstract

“…It was very difficult to confirm the aetiology of sudden hearing loss in this case. A previously published clinical case report presented positive SARS-CoV-2 RT-PCR and another synchronous diagnosis (sinonasal polyposis complicated by osteomyelitis of the lateral wall of the sphenoid sinus) in the context of meningoencephalitis [4] . Cases of neurosyphilis with sudden hearing loss have been previously described, confirming the neurotropism of syphilis, but only 2 cases of sudden bilateral hearing loss in a context of polyneuritis have been published [5] , [6] .…”

mentioning

confidence: 98%