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Article Type

Original Study

Subject Area

Otorhinolaryngology

Abstract

Background : Coronavirus 2019 (COVID-19) is caused by (SARS-CoV-2) a novel highly transmissible pandemic disease. It was noticed that there were many cases of acute salivary sialadenitis in the era of COVID -19 and not enough studies were documented. This study aimed to assess if there is a correlation between COVID -19 and acute salivary sialadenitis and assessed saliva PCR as an easy diagnostic test for COVID -19 also compared it with the gold standard nasopharyngeal swab PCR. Methods: A non-random observational study included 30 patients who had acute onset of salivary sialadenitis. They all underwent oropharyngeal, parotid and submandibular glands examination. Nasopharyngeal swab and saliva PCR for COVID -19 diagnosis were done. Other lab investigations CRP, D.Dimer, S.Ferritin, also chest CT for COVID -19 detection were also done. Results: The sample collected showed; 21 (70%) patients had unilateral acute submandibular sialadenitis, 4(13.3%) of them had also unilateral acute parotitis on the same side, 20(66.7%) of them had acute tonsillopharyngitis, 23(76.6%) of them had smell disorders and 18(60%) of them had taste disorders. In 66.7%; saliva PCR was positive for COVID-19 and in 53.3 % nasopharyngeal swap PCR was positive for COVID-19. As regards D. Dimer, S. Ferritin and CRP; elevated values in 43.3%, 40% and 90% respectively. Conclusion: Salivary gland inflammation is considered an extra-pulmonary manifestation of SARS-COV-2. Diagnosis of COVID -19 can be done with saliva PCR.

IRB Number

HSH00046

Keywords

SARS-COV2, Anosmia, Dysgeusia, Sialadenitis, rRT-PCR

Creative Commons License

Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.

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