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病例报告:以嗅觉丧失和味觉丧失为主诉的 COVID-19 患者;对军事人员非典型症状和管理的独特视角。

Case Report: COVID-19 Patient With Chief Complaint of Anosmia and Ageusia; a Unique Perspective on Atypical Symptomatology and Management in the Military.

机构信息

Department of Aviation Medicine, Navy Medicine Readiness and Training Unit Jacksonville, Building #964 Enterprise Road, Jacksonville FL 32212.

出版信息

Mil Med. 2020 Dec 30;185(11-12):e2176-e2179. doi: 10.1093/milmed/usaa196.

Abstract

A novel corona virus, severe acute respiratory syndrome coronavirus-2, found in Wuhan, China in December 2019 has since spread to multiple continents and has been implicated in thousands of deaths. This pandemic-causing virus has been initially described (corona virus disease 2019 [COVID-19]) with the presentation of fever, cough, and shortness of breath. The majority of studies published have been conducted on inpatient cases and a shortage of tests has encouraged screening only of patients with classic presentation. A positive COVID-19 case of a healthy military male, with the chief complaint of anosmia and ageusia, instigated local re-evaluation of the screening protocol for possible COVID-19 patients. Multiple studies in Europe have implicated anosmia and ageusia as symptoms associated with COVID-19, and subsequently, anosmia and ageusia have been added to Centers for Disease Control and Prevention screening guidelines as well. There should be a higher index of suspicion when evaluating a patient with high-risk activities, travel, and atypical symptoms. More studies need to be conducted with a healthy outpatient population to further understand this disease and decrease its impact.

摘要

一种新型冠状病毒,严重急性呼吸系统综合征冠状病毒 2 型,于 2019 年 12 月在中国武汉发现,此后已传播到多个大洲,并导致数千人死亡。这种引发大流行的病毒最初被描述为(2019 年冠状病毒病[COVID-19]),其表现为发热、咳嗽和呼吸急促。已发表的大多数研究都是针对住院患者进行的,由于检测不足,仅对具有典型表现的患者进行了筛查。一名健康的军队男性出现 COVID-19 阳性病例,主要症状为嗅觉丧失和味觉丧失,促使当地重新评估可能 COVID-19 患者的筛查方案。欧洲的多项研究表明,嗅觉丧失和味觉丧失是与 COVID-19 相关的症状,随后,嗅觉丧失和味觉丧失也被添加到疾病控制和预防中心的筛查指南中。在评估有高风险活动、旅行和非典型症状的患者时,应提高警惕。需要对健康的门诊人群进行更多的研究,以进一步了解这种疾病并降低其影响。

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本文引用的文献

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A Novel Coronavirus from Patients with Pneumonia in China, 2019.2019 年中国肺炎患者中的一种新型冠状病毒。
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