Coggins John M, Wright Charisse, Underbrink Michael P
School of Medicine, University of Texas Medical Branch at Galveston, Galveston, Texas, USA.
Houston ENT & Allergy, 915 Gessner, Suite 280, Houston, Texas 77024, USA.
Case Rep Otolaryngol. 2022 Jul 8;2022:6059487. doi: 10.1155/2022/6059487. eCollection 2022.
The COVID-19 pandemic has shown with certainty that SARS-CoV-2 can cause a variety of clinical findings, with some of the most notable being lasting chemosensory changes. Severe infections with SARS-CoV-2 can also lead to a variety of complications. For example, vocal cord paralysis can be caused by trauma sustained during intubation, which is a necessary procedure for many severe cases. Rarely, SARS-CoV-2 related vocal cord paralysis has occurred outside the context of intubation. These cases contribute to an emerging assortment of evidence supporting the neuropathic capacity of SARS-CoV-2. This report documents a case of COVID-19 related vocal cord paralysis in an 18-year-old female. The patient had a significant history of muscle tension dysphonia, chronic laryngitis, and vocal cord nodules. The patient developed vocal cord paralysis concurrently with the onset of mild viral symptoms and was never intubated or hospitalized. Based on the onset of symptoms and other causes being excluded with CT, a diagnosis of COVID-19-related vocal cord paralysis was performed.
新冠疫情已确切表明，严重急性呼吸综合征冠状病毒2（SARS-CoV-2）可引发多种临床症状，其中一些最显著的症状是持久的化学感觉变化。SARS-CoV-2的严重感染还可导致多种并发症。例如，声带麻痹可能由插管过程中遭受的创伤引起，而插管是许多重症病例的必要操作。在插管情况之外，SARS-CoV-2相关的声带麻痹很少发生。这些病例为支持SARS-CoV-2具有神经病变能力的一系列新证据提供了补充。本报告记录了一名18岁女性新冠相关声带麻痹的病例。该患者有肌肉紧张性发声障碍、慢性喉炎和声带小结的重要病史。患者在出现轻微病毒症状的同时并发声带麻痹，且从未接受过插管或住院治疗。基于症状的出现以及通过CT排除了其他病因，做出了新冠相关声带麻痹的诊断。
