ENT Related Symptomatology of COVID-19 in a Tertiary Care Hospital
DOI:
https://doi.org/10.51253/pafmj.v74iSUPPL-2.4755Keywords:
COVID-19, Fever with Cough, Myalgia, Symptoms of AirwaysAbstract
Objective: Severe acute respiratory Syndrome Coronavirus 2(SARS-COVID-19) is a novel member of RNA corona virus which is widely spread nowadays in many parts around the globe. This study aims to investigate the symptoms of COVID-19 disease cases which according to published scientific literature mainly includes upper respiratory track symptoms.
Study Design: Case series.
Place and Duration of Study: ENT department, Pakistan Navy Station Shifa Hospital, Karachi Pakistan, from Mar to Jun 2020.
Methodology: Patients included in study were above the age of 10 years who were able to give us the details about their symptoms, contact and recent travel history and cooperated for their nasopharyngeal swabs for COVID-19 RT PCR tests. Probability, convenient, sampling technique was used for our study. Frequencies of age, gender, clinical symptoms of patients were analyzed by using descriptive statistics.
Results: This study included 231 patients with COVID-19 positive nasopharyngeal swabs for RT-PC, out of which 200 were males and 31 were females. Mean age is 38.23+14.77 years. Among the airway symptoms, multiple symptoms like fever, cough, myalgia were seen in 84(36.4%) cases and cough was found in 22(9.5%) of patients. Fever with cough was seen in 21(9.2%) of patients. 58(25.1%) cases were asymptomatic and were carriers. History of contact was positive in 122(52.8%) of cases.
Conclusion: COVID patients have fever, cough and myalgia as the most common symptoms and such patients should be assessed with care and as per the standard guidelines of institutions.
Downloads
References
Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med 2020; 382(13): 1199-1207.
https://doi.org/10.1056/ NEJMoa2001316
Chen N, Zhou M, Dong X, Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395(10223): 507-513.
https://doi.org/10.1016/S0140-6736(20)30211-7.
Guan W, Ni Z, Hu Y, Liang W, Ou C, He J, et al. Clinical characteristics of corona- virus disease 2019 in China [published online ahead of print 2020]. N Engl J Med
https://doi.org/10.1056/NEJMoa2002032.
Lovato A, de Filippis C, Marioni G. Upper airway symptoms in coronavirus disease 2019 (COVID-19). American Journal of Otolaryngology 2020 Apr 4.
Bai Y, Yao L, Wei T, Tian F, Jin DY, Chen L et al. Presumed asymptomatic carrier transmission of COVID-19. Jama 2020; 323(14): 1406-1407.
Wang Y, Kang H, Liu X, Tong Z. Combination of RT-qPCR testing and clinical features for diagnosis of COVID-19 facilitates management of SARS-CoV-2 outbreak [published online ahead of print 2020]. J Med Virol https://doi.org/10.1002/jmv.25721
Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. The Lancet 2020; 395(10223): 470-473
Adhikari SP, Meng S, Wu Y, Mao Y, Ye R, Wang Q, et al. A scoping review of 2019 Novel Coronavirus during the early outbreak period: Epidemiology, causes, clinical manifestation and diagnosis, prevention and control.
Holshue ML, DeBolt C, Lindquist S, Lofy KH, Wiesman J, Bruce H, et al. First case of 2019 novel coronavirus in the United States. New England Journal of Medicine 2020 Jan 31.
Sun P, Qie S, Liu Z, Ren J, Li K, Xi J. Clinical characteristics of hospitalized patients with SARS-CoV-2 infection: A single arm meta-analysis. J Med Virol https://doi.org/10.1002/jmv.25735.
Li K, Wu J, Wu F, Guo D, Chen L, Fang Z, et al. The Clinical and Chest CT Features Associated With Severe and Critical COVID-19 Pneumonia. PMC Accessed Jul 05, 2020.
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395: 497‐506.
Wang W, Tang J, Wei F. Updated understanding of the outbreak of 2019 novel coronavirus (2019‐nCoV) in Wuhan, China. Journal of medical virology 2020; 92(4): 441-447
Hui DS, Azhar EI, Madani TA, Ntoumi F, Kock R, Dar O, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health—The latest 2019 novel coronavirus outbreak in Wuhan, China. International Journal of Infectious Diseases 2020; 91: 264-266.
Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. Jama 2020; 323(11): 1061-1069.
Mao L, Wang M, Chen S, He Q, Chang J, Hong C. et al- Neurological manifestation of hospitalized patients with covid -19 in Wohan, china: a retrospective case series study 2020.
Giacomelli A, Pezzati L, Conti F, Giacomelli A, Pezzati L, Conti F, et al. Self-reported olfactory and taste disorders in SARS-CoV-2 patients: a cross-sectional study. Clin Infect Dis.
https://doi.org/10.1093/cid/ciaa330
Yu P, Zhu J, Zhang Z, Han Y, Huang L. A familial cluster of infection associated with the 2019 novel coronavirus indicating potential person‐to‐person transmission during the incubation period J Infect Dis 2020
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Sohail Aslam, Syed Muhammad Asad Shabbir Bukhari, Naeem Riaz Bhatti, Syeda Atiya Batool Gardezi, Muhammad Fahad Wasim Khan, Waseem Ahmad Khan
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
