Zhang Qian, Shan Khine S, Abdollahi Shahrzad, Nace Travis
Internal Medicine, Abington Hospital-Jefferson Health, Abington, USA.
Internal Medicine, University of Maryland Medical Center, Baltimore, USA.
Cureus. 2020 May 1;12(5):e7918. doi: 10.7759/cureus.7918.
The patient is a 60-year-old woman with a history of vertigo and seasonal allergies who presented to the hospital with the chief complaint of headache. Radiological findings were negative for intracranial abnormalities. The headache was due to trigeminal neuralgia. She had concurrent complaints of anosmia and ageusia without fever, respiratory symptoms, or obvious risk factors. However, it was determined to test the patient for coronavirus disease 2019 (COVID-19) infection despite extremely low clinical suspicion. Unfortunately, she was found to be COVID-19 positive after she was discharged from the hospital while she remained asymptomatic. There is currently a lack of published case reports describing COVID-19 patients with the sole symptoms of anosmia and ageusia in the United States of America.
患者为一名60岁女性，有眩晕和季节性过敏史，因头痛为主诉入院。影像学检查结果显示颅内无异常。头痛是由三叉神经痛引起的。她同时伴有嗅觉丧失和味觉丧失的症状，无发热、呼吸道症状或明显危险因素。然而，尽管临床怀疑极低，仍决定对该患者进行2019冠状病毒病（COVID-19）感染检测。不幸的是，她出院后被发现COVID-19呈阳性，而她仍无症状。目前在美国缺乏描述仅以嗅觉丧失和味觉丧失为唯一症状的COVID-19患者的已发表病例报告。
