Clinical correlation and assessment of olfactory dysfunction with n-butanol in COVID-19 patients: our experience

Autor: Rohit Sharma, Amit Kumar Rana, Vinit Kumar Sharma, Ashish Mehrotra, Helena Babu, Sneha Gupta, Rajeev Singh, Anjali Tyagi, Nandini Sethi, Prakhar Bhatt, Varsha Yadav, Parth Chopra, Deepak Upadhyay
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Rhinology Online, Vol 5, Iss 5, Pp 30-36 (2022)
Druh dokumentu: article
ISSN: 2589-5613
DOI: 10.4193/RHINOL/21.055
Popis: Background: Studies showed olfactory disturbances in COVID patients. This has attracted focus of clinicians as an easy clinical screening tool in suspected population. Material and methods: 70 mild and moderate category COVID-19 RT-PCR positive patients, more than 10 years of age were tested on day of admission for olfaction with serial dilution of n-butanol and asked to grade severity of their olfactory dysfunction according to visual analogue score from 1-10. Results: Fatigue 42 (93.33%), sore throat 37 (82.22%), fever 36 (80%) and dyspnea 23 (51.11%) were the most common symptoms in moderate patients. Diabetes, hypertension and allergy were the three prominent risk factors. At time of admission, n-butanol diagnosed 20 patients having olfactory dysfunction compared to 11 by VAS. Patients tend to grade their dysfunction higher on VAS whereas the n-butanol test classified their olfactory dysfunction lower. Viral load and high CRP were not found to be significantly related with olfactory dysfunction. d-Dimer and LDH levels were found statistically associated with higher grading of olfactory dysfunction detected by n-butanol. Conclusion: The majority of cases developed hyposmia before they were admitted to hospital even before they realized that they were having hyposmia as revealed by n-butanol testing. We should go for objective tests of olfaction.
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