tetano
Editor, Senior Moderator
Dysphagia
. 2020 Jun 12.
doi: 10.1007/s00455-020-10140-z. Online ahead of print.
Oropharyngeal Dysphagia and Aspiration Pneumonia Following Coronavirus Disease 2019: A Case Report
Yoichiro Aoyagi[SUP] 1 [/SUP], Miho Ohashi[SUP] 2 [/SUP], Reisuke Funahashi[SUP] 3 [/SUP], Yohei Otaka[SUP] 3 [/SUP], Eiichi Saitoh[SUP] 3 [/SUP]
Affiliations
Abstract
Cranial nerve involvement is a finding often observed in patients infected with severe acute respiratory syndrome coronavirus 2 during the pandemic outbreak of coronavirus disease 2019 (COVID-19). To our knowledge, this is the first report of oropharyngeal dysphagia associated with COVID-19. A 70-year-old male developed dysphagia and consequent aspiration pneumonia during recovery from severe COVID-19. He had altered sense of taste and absent gag reflex. Videoendoscopy, videofluorography, and high-resolution manometry revealed impaired pharyngolaryngeal sensation, silent aspiration, and mesopharyngeal contractile dysfunction. These findings suggested that glossopharyngeal and vagal neuropathy might have elicited dysphagia following COVID-19. The current case emphasizes the importance of presuming neurologic involvement and concurrent dysphagia, and that subsequent aspiration pneumonia might be overlooked in severe respiratory infection during COVID-19.
Keywords: Coronavirus disease 2019; Deglutition; Deglutition disorder; Severe acute respiratory syndrome coronavirus 2; Vagus nerve.
. 2020 Jun 12.
doi: 10.1007/s00455-020-10140-z. Online ahead of print.
Oropharyngeal Dysphagia and Aspiration Pneumonia Following Coronavirus Disease 2019: A Case Report
Yoichiro Aoyagi[SUP] 1 [/SUP], Miho Ohashi[SUP] 2 [/SUP], Reisuke Funahashi[SUP] 3 [/SUP], Yohei Otaka[SUP] 3 [/SUP], Eiichi Saitoh[SUP] 3 [/SUP]
Affiliations
- PMID: 32533346
- DOI: 10.1007/s00455-020-10140-z
Abstract
Cranial nerve involvement is a finding often observed in patients infected with severe acute respiratory syndrome coronavirus 2 during the pandemic outbreak of coronavirus disease 2019 (COVID-19). To our knowledge, this is the first report of oropharyngeal dysphagia associated with COVID-19. A 70-year-old male developed dysphagia and consequent aspiration pneumonia during recovery from severe COVID-19. He had altered sense of taste and absent gag reflex. Videoendoscopy, videofluorography, and high-resolution manometry revealed impaired pharyngolaryngeal sensation, silent aspiration, and mesopharyngeal contractile dysfunction. These findings suggested that glossopharyngeal and vagal neuropathy might have elicited dysphagia following COVID-19. The current case emphasizes the importance of presuming neurologic involvement and concurrent dysphagia, and that subsequent aspiration pneumonia might be overlooked in severe respiratory infection during COVID-19.
Keywords: Coronavirus disease 2019; Deglutition; Deglutition disorder; Severe acute respiratory syndrome coronavirus 2; Vagus nerve.