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  1. TI=COVID 19 findings revealed via otolaryngological examination: Findings of a Japan Otorhinolaryngologist Association questionnaire
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  1. Article ; Online: Letter to the editor: COVID-19 findings revealed via otolaryngological examination: Findings of a Japan Otorhinolaryngologist Association questionnaire.

    Kimura, Yurika

    Auris, nasus, larynx

    2023  Volume 50, Issue 6, Page(s) 979

    MeSH term(s) Humans ; COVID-19 ; Japan ; Otolaryngology ; Pharynx ; Surveys and Questionnaires
    Language English
    Publishing date 2023-06-13
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 604552-2
    ISSN 1879-1476 ; 0385-8146
    ISSN (online) 1879-1476
    ISSN 0385-8146
    DOI 10.1016/j.anl.2023.06.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COVID-19 findings revealed via otolaryngological examination: Findings of a Japan Otorhinolaryngologist Association questionnaire.

    Kimura, Yurika / Nogami, Kenichiro / Watanabe, Kazuo / Yoshimura, Tadashi / Asai, Hideyo / Fujioka, Osamu / Kawasaki, Yoshiaki / Igarashi, Mitsuru / Inamura, Naoki / Kawashima, Kayoko / Nishino, Hiroshi / Fukuyo, Kazumasa

    Auris, nasus, larynx

    2021  Volume 48, Issue 6, Page(s) 1176–1180

    Abstract: ... questionnaire was used to collect information regarding the timing of positive identification of COVID-19 ... who belong to the Japan Otorhinolaryngologists Association were included in the study. A web-based ... of otorhinolaryngological findings in order to improve COVID-19 diagnostic systems in a primary care setting.: Methods ...

    Abstract Objective: In Japan, many otolaryngologists provide primary care for patients with coronavirus disease 2019 (COVID-19). The purpose of this study was to analyze the characteristics of otorhinolaryngological findings in order to improve COVID-19 diagnostic systems in a primary care setting.
    Methods: A total of 351 patients (mean age, 36.0 ± 15.4 years) diagnosed with COVID-19 by otolaryngologists who belong to the Japan Otorhinolaryngologists Association were included in the study. A web-based questionnaire was used to collect information regarding the timing of positive identification of COVID-19, the route of infection, symptoms, and findings in the tonsils, nasal cavity, pharynx, ear, and neck. A modified Centor score was calculated for cases in which age, symptoms, and tonsil and neck findings were described.
    Results: Symptoms included fever (56%), olfactory disturbance (46%), and a sore throat (56%). Of the individuals considered, 63% had ordinary rhinoscopic findings, 21% experienced watery rhinorrhea, and 12% had observable mucosal redness. Further, 87% had ordinary tonsillar findings, 13% displayed tonsillar redness, with enlargement and white mucus observe in 2% and 1% of participants, respectively. A total of 193 patients had a calculated Centor score of 3 points in 2%, and scores of the remaining participants were ≤2 points.
    Conclusion: Of all patients considered, 40% had nasal findings and 4% had purulent nasal discharge. In contrast, only 13% of the patients had tonsillar findings, and no patients had Centor scores ≥4 points. Symptom differentiation from that of bacterial infections is difficult. In areas where COVID-19 is prevalent, the disease should be considered in patients presenting with fever, olfactory disturbances, and sore throat with minimal or no clinical findings in the nasal cavity and pharynx.
    MeSH term(s) Adult ; Bacterial Infections/diagnosis ; COVID-19/complications ; COVID-19/diagnosis ; COVID-19/epidemiology ; Diagnosis, Differential ; Female ; Health Care Surveys ; Humans ; Japan/epidemiology ; Male ; Otolaryngologists ; Otorhinolaryngologic Diseases/diagnosis ; Otorhinolaryngologic Diseases/epidemiology ; Otorhinolaryngologic Diseases/virology ; Symptom Assessment
    Language English
    Publishing date 2021-06-09
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 604552-2
    ISSN 1879-1476 ; 0385-8146
    ISSN (online) 1879-1476
    ISSN 0385-8146
    DOI 10.1016/j.anl.2021.05.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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