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10.1016/j.anl.2021.05.010

http://scihub22266oqcxt.onion/10.1016/j.anl.2021.05.010
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34172351!8188306!34172351
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suck abstract from ncbi


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pmid34172351      Auris+Nasus+Larynx 2021 ; 48 (6): 1176-1180
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  • COVID-19 findings revealed via otolaryngological examination: Findings of a Japan Otorhinolaryngologist Association questionnaire #MMPMID34172351
  • Kimura Y; Nogami K; Watanabe K; Yoshimura T; Asai H; Fujioka O; Kawasaki Y; Igarashi M; Inamura N; Kawashima K; Nishino H; Fukuyo K
  • Auris Nasus Larynx 2021[Dec]; 48 (6): 1176-1180 PMID34172351show ga
  • OBJECTIVE: In Japan, many otolaryngologists provide primary care for patients with coronavirus disease 2019 (COVID-19). The purpose of this study was to analyze the characteristics of otorhinolaryngological findings in order to improve COVID-19 diagnostic systems in a primary care setting. METHODS: A total of 351 patients (mean age, 36.0 +/- 15.4 years) diagnosed with COVID-19 by otolaryngologists who belong to the Japan Otorhinolaryngologists Association were included in the study. A web-based questionnaire was used to collect information regarding the timing of positive identification of COVID-19, the route of infection, symptoms, and findings in the tonsils, nasal cavity, pharynx, ear, and neck. A modified Centor score was calculated for cases in which age, symptoms, and tonsil and neck findings were described. RESULTS: Symptoms included fever (56%), olfactory disturbance (46%), and a sore throat (56%). Of the individuals considered, 63% had ordinary rhinoscopic findings, 21% experienced watery rhinorrhea, and 12% had observable mucosal redness. Further, 87% had ordinary tonsillar findings, 13% displayed tonsillar redness, with enlargement and white mucus observe in 2% and 1% of participants, respectively. A total of 193 patients had a calculated Centor score of 3 points in 2%, and scores of the remaining participants were /=4 points. Symptom differentiation from that of bacterial infections is difficult. In areas where COVID-19 is prevalent, the disease should be considered in patients presenting with fever, olfactory disturbances, and sore throat with minimal or no clinical findings in the nasal cavity and pharynx.
  • |*Symptom Assessment[MESH]
  • |Adult[MESH]
  • |Bacterial Infections/diagnosis[MESH]
  • |COVID-19/complications/*diagnosis/epidemiology[MESH]
  • |Diagnosis, Differential[MESH]
  • |Female[MESH]
  • |Health Care Surveys[MESH]
  • |Humans[MESH]
  • |Japan/epidemiology[MESH]
  • |Male[MESH]
  • |Otolaryngologists[MESH]


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