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10.31744/einstein_journal/2021AO6255

http://scihub22266oqcxt.onion/10.31744/einstein_journal/2021AO6255
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suck abstract from ncbi


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pmid33729288      Einstein+(Sao+Paulo) 2021 ; 19 (ä): eAO6255
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  • Sinus computed tomography findings in patients with COVID-19 #MMPMID33729288
  • Sumi DV; Loureiro RM; Collin SM; Deps PD; Bezerra LL; Gomes RLE; Daniel MM
  • Einstein (Sao Paulo) 2021[]; 19 (ä): eAO6255 PMID33729288show ga
  • OBJECTIVE: To analyze computed tomography scans of paranasal sinuses of a series of patients with coronavirus disease 2019, and correlate the findings with the disease. METHODS: Computed tomography scans of 95 adult patients who underwent a polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2 were analyzed. Clinical data were obtained from patients' records and telephone calls. Paranasal sinus opacification was graded and compared according to severe acute respiratory syndrome coronavirus 2 positivity. RESULTS: Of the patients 28 (29.5%) tested positive for severe acute respiratory syndrome coronavirus 2 (median age 52 [range 26-95] years) and 67 were negative (median age 50 [range 18-95] years). Mucosal thickening was present in 97.4% of maxillary sinuses, 80% of anterior ethmoid air cells, 75.3% of posterior ethmoid air cells, 74.7% of frontal sinuses, and 66.3% of sphenoid sinuses. Minimal or mild mucosal thickening (score 1)and normally aerated sinuses (score 0) corresponded to 71.4% and 21.3% of all paranasal sinuses, respectively. The mean score of each paranasal sinus among severe acute respiratory syndrome coronavirus 2 positive and negative patients was 0.85+/-0.27 and 0.87+/-0.38, respectively (p=0.74). Median paranasal sinus opacification score among severe acute respiratory syndrome coronavirus 2 positive patients was 9 (interquartile range 8-10) compared to 9 (interquartile range 5-10) in negative patients (p=0.89). There was no difference in mean score adjusted for age and sex. Nasal congestion was more frequent in severe acute respiratory syndrome coronavirus 2 positive than negative patients (p=0.05). CONCLUSION: Severe acute respiratory syndrome coronavirus 2 infection was associated with patient recall of nasal congestion, but showed no correlation with opacification of paranasal sinuses.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/*diagnostic imaging[MESH]
  • |Frontal Sinus/*diagnostic imaging[MESH]
  • |Humans[MESH]
  • |Maxillary Sinus/*diagnostic imaging[MESH]
  • |Middle Aged[MESH]
  • |Sphenoid Sinus/*diagnostic imaging[MESH]
  • |Tomography, X-Ray Computed[MESH]


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