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Anosmia as a presenting symptom of SARS-CoV-2 infection in healthcare workers – A systematic review of the literature, case series, and recommendations for clinical assessment and management.

Anosmia as a presenting symptom of SARS-CoV-2 infection in healthcare workers – A systematic review of the literature, case series, and recommendations for clinical assessment and management.

Background: Healthcare workers are at the forefront of the ongoing COVID-19 pandemic and are at high risk for both the contraction and subsequent spread of virus. Understanding the role of anosmia as an early symptom of infection may improve monitoring and management of SARS-CoV2 infection. Methodology: We conducted a systematic review of the literature of SARS-CoV2 infection/COVID-19 and anosmia to help inform management of anosmia in healthcare works. We report a case series of healthcare workers, who presented with a loss of sense of smell secondary to COVID-19 infection to demonstrate management principles. RT-PCR was used to confirm COVID-19 positivity and psychophysical testing of olfaction was performed using the British version of the University of Pennsylvania Smell Identification Test, UPSIT. Results: The systematic literature search returned 31 articles eligible for inclusion in the study and informed our recommendations for clinical assessment and management. All three healthcare professionals who presented with loss of sense of smell subsequently tested positive for SARS-CoV-2. Psychophysical testing of olfaction using the UPSIT confirmed mild and moderate microsmia in two, respectively, and normosmia at day 17 in one. Conclusions: Olfactory (± gustatory) dysfunction is indicative of COVID-19 infection and thus has important implications in the context of healthcare workers, or key workers in general, who work in close contact with others if not recognised as suffering from COVID. This leads to a potentially higher likelihood of spreading the virus. In conjunction with our literature review these findings have helped with creating recommendations on the assessment and management of olfactory dysfunction during the ongoing COVID-19 pandemic, both for healthcare workers and patients.

MANAGEMENT OPTIONS FOR SKULL BASE

MANAGEMENT OPTIONS FOR SKULL BASE

Surgeons approach lesions of the skull base with understandable reluctance. The problems being surgical inaccessibility, the obstacles of vital neural and vascular anatomy and the overwhelming surgical mortality rate as a result of haemorrhage and sepsis. There has been a technical revolution in microsurgery, anaesthesia and neurodiagnosis. Armed with technology surgery has become the mainstay in management of these dreaded lesions.

Can Losing Weight Cure Sleep Apnea?

Can Losing Weight Cure Sleep Apnea?

Have you been waking up with headaches in the morning? Do you constantly feel exhausted even when you thought you were getting a great night of rest? If so, you may be suffering from a condition known as sleep apnea. Your partner may have also noticed the signs of this while you were asleep. What is sleep apnea? Sleep apnea

Do you need a CPAP device?

Do you need a CPAP device?

There is never anything more exhausting than waking up with a headache, feeling like you've never slept. If this is happening to you, you may need to speak to a doctor about sleep disorders, such as sleep apnea. Sleep apnea is a disorder whereby your breathing stops on and off through the night. Snoring loudly and feeling unusually tired after

When to seek a Thyroid Specialist

When to seek a Thyroid Specialist

When you are dealing with hypothyroidism , you need to be aware of the people around you who can help you to monitor your condition in the best way. However, there will be times you will need to see a thyroid specialist. Hypothyroidism affects almost 5% of Americans over the age of 12. Most of the time, those who have