Tuesday, 24 March 2020

Lost Sense of Smell May Be Peculiar Clue to Coronavirus Infection

quote [ Doctor groups are recommending testing and isolation for people who lose their ability to smell and taste, even if they have no other symptoms. ]

Could as well keep an eye open for this one. Anyone experience on this? Full in extended.

Reveal

Lost Sense of Smell May Be Peculiar Clue to Coronavirus Infection
By Roni Caryn Rabin
8-10 Minuten

Doctor groups are recommending testing and isolation for people who lose their ability to smell and taste, even if they have no other symptoms.
A girl removed her mask to smell the flowers on a blooming tree in Skopje, North Macedonia, on Friday. Evidence is growing that lost sense of smell and taste are peculiar telltale signs of Covid-19, the disease caused by the coronavirus.
A girl removed her mask to smell the flowers on a blooming tree in Skopje, North Macedonia, on Friday. Evidence is growing that lost sense of smell and taste are peculiar telltale signs of Covid-19, the disease caused by the coronavirus.Credit...Ognen Teofilovski/Reuters

Roni Caryn Rabin

March 22, 2020

A mother who was infected with the coronavirus couldn’t smell her baby’s full diaper. Cooks who can usually name every spice in a restaurant dish can’t smell curry or garlic, and food tastes bland. Others say they can’t pick up the sweet scent of shampoo or the foul odor of kitty litter.

Anosmia, the loss of sense of smell, and ageusia, an accompanying diminished sense of taste, have emerged as peculiar telltale signs of Covid-19, the disease caused by the coronavirus, and possible markers of infection.

On Friday, British ear, nose and throat doctors, citing reports from colleagues around the world, called on adults who lose their senses of smell to isolate themselves for seven days, even if they have no other symptoms, to slow the disease’s spread. The published data is limited, but doctors are concerned enough to raise warnings.

“We really want to raise awareness that this is a sign of infection and that anyone who develops loss of sense of smell should self-isolate,” Prof. Claire Hopkins, president of the British Rhinological Society, wrote in an email. “It could contribute to slowing transmission and save lives.”

She and Nirmal Kumar, president of ENT UK, a group representing ear, nose and throat doctors in Britain, issued a joint statement urging health care workers to use personal protective equipment when treating any patients who have lost their senses of smell, and advised against performing nonessential sinus endoscopy procedures on anyone, because the virus replicates in the nose and the throat and an exam can prompt coughs or sneezes that expose the doctor to a high level of virus.

Two ear, nose and throat specialists in Britain who have been infected with the coronavirus are in critical condition, Dr. Hopkins said. Earlier reports from Wuhan, China, where the coronavirus first emerged, had warned that ear, nose and throat specialists as well as eye doctors were infected and dying in large numbers, Dr. Hopkins said.

The British physicians cited reports from other countries indicating that significant numbers of coronavirus patients experienced anosmia, saying that in South Korea, where testing has been widespread, 30 percent of 2,000 patients who tested positive experienced anosmia as their major presenting symptom (these were mild cases).

The American Academy of Otolaryngology on Sunday posted information on its website saying that mounting anecdotal evidence indicates that lost or reduced sense of smell and loss of taste are significant symptoms associated with Covid-19, and that they have been seen in patients who ultimately tested positive with no other symptoms.

The symptoms, in the absence of allergies or sinusitis, should alert doctors to screen patients for the virus and “warrant serious consideration for self isolation and testing of these individuals,” the academy said. The organization has reminded its members that the Centers for Disease Control and Prevention has urged all clinicians to prioritize urgent and emergency visits for the next several weeks and to reschedule elective and routine procedures.

“There is evolving evidence that otolaryngologists are among the highest risk group when performing upper airway surgeries and examinations,” said a notice posted on the academy’s website on Friday. “A high rate of transmission of Covid-19 to otolaryngologists has been reported from China, Italy and Iran, many resulting in death.”

Dr. Rachel Kaye, an assistant professor of otolaryngology at Rutgers, said colleagues in New Rochelle, N.Y., which has been the center of an outbreak, first alerted her to the smell loss associated with the coronavirus, sharing that patients who had first complained of anosmia later tested positive for the coronavirus. “This raised a lot of alarms for me personally,” Dr. Kaye said, because those patients “won’t know to self quarantine.”

“Most ENTs have on their own accord tried to scale down,” she said, adding that her department at Rutgers had already started using personal protective equipment and stopped performing nonessential exams.

Image
People shopping in Milan, hard hit by the coronavirus. Doctors in Italy have found that loss of the sense of smell can be a sign of Covid-19, the disease caused by the coronavirus.
People shopping in Milan, hard hit by the coronavirus. Doctors in Italy have found that loss of the sense of smell can be a sign of Covid-19, the disease caused by the coronavirus.Credit...Alessandro Grassani for The New York Times

In the areas of Italy most heavily affected by the virus, doctors say they have concluded that loss of taste and smell is an indication that a person who otherwise seems healthy is in fact carrying the virus and may be spreading it to others.

“Almost everybody who is hospitalized has this same story,” said Dr. Marco Metra, chief of the cardiology department at the main hospital in Brescia, where 700 of 1,200 inpatients have the coronavirus. “You ask about the patient’s wife or husband. And the patient says, ‘My wife has just lost her smell and taste but otherwise she is well.’ So she is likely infected, and she is spreading it with a very mild form.”

A study from South Korea, where widespread testing has been done, found that 30 percent of some 2,000 patients who tested positive for the coronavirus reported experiencing anosmia.

Hendrik Streeck, a German virologist from the University of Bonn who went from house to house in the country’s Heinsberg district to interview coronavirus patients, has said in interviews that at least two-thirds of the more than 100 he talked to with mild disease reported experiencing loss of smell and taste lasting several days.

Another physician who studied a cluster of coronavirus patients in Germany said in an email that roughly half of the patients had experienced a smell or taste disorder, and that the sensory loss usually presented after the first symptoms of respiratory illness, but could be used to distinguish people who should be tested.

Dr. Clemens Wendtner, a professor of medicine at the Academic Teaching Hospital of Ludwig-Maximilians University of Munich, said that the patients regained their ability to smell after a few days or weeks, and that the loss occurred regardless of how sick they got or whether they were congested. Using nasal drops or sprays did not help, Dr. Wendtner said.

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Several American patients who have had symptoms consistent with the coronavirus, but who have not been tested or are still awaiting test results, described losing their senses of smell and taste, even though their noses were clear and they were not congested.

Andrew Berry, 30, developed a fever and body aches about 10 days ago, and then a sore throat and debilitating headaches. He tested negative for influenza and has not gotten the result of a coronavirus test taken four days ago, but his physician was convinced that he had the virus, he said.

Now, Mr. Berry said, he literally cannot smell the coffee.

“Even with a clear nose, I just realized I couldn’t smell the food that I was cooking, and I couldn’t taste the food that I was making,” said Mr. Berry, a tattoo artist based in Orlando, Fla. He was cooking a plantain dish with onions and vinegar, yet he could not smell it.

Amy Plattmier, a woman from Brooklyn, was not tested for the coronavirus during a recent illness, but her husband then became sick and had a positive test. Ms. Plattmier said she usually had a very sensitive nose, but now could barely smell anything — not the bleach she was using to clean the counters, which usually makes her feel nauseated, or the dog’s accident in the bathroom, which she cleaned up.

Mr. Berry has also lost some weight, because he has not had much of an appetite. “Hopefully it’s not a prolonged effect,” he said. “I can imagine it changes the quality of life.”

David Kirkpatrick contributed reporting from London.

A version of this article appears in print on March 23, 2020, Section A, Page 4 of the New York edition with the headline: Loss of Smell and Taste May Be a Peculiar Clue.
[SFW] [health] [+2 Original]
[by Paracetamol@1:02pmGMT]

Comments

captainstubing said @ 9:09am GMT on 25th Mar [Score:2]
I thought maybe as some fresh limes from the tree did not smell so wonderfully citrusy the next day. Really low level of scent. So I thought, yeah, maybe about to die, but first I will mix a drink with some lovely, fresh limes. Which I did. Yummy.

Then my cat backed one out in the litter box in the next room and I realised that my smeller was working just fine. My eyes were nearly bleeding.
discolemonade2.0 said @ 8:34am GMT on 25th Mar [Score:1 Insightful]
So hi yes

I had to get tested yesterday. I wont know for at least 3 to six days but my sense of taste is definitely off.
Paracetamol said @ 9:58am GMT on 25th Mar
Ach, you'll be okay. But here's hoping being at home all the time won't stress you out so much!
discolemonade2.0 said @ 4:50am GMT on 26th Mar
Im quickly running out of money and idk when ill be able to work again
Also i feel like im dying
Paracetamol said @ 6:52am GMT on 26th Mar
Yeah shit … they started organizing coupons here for closed shops – but it's still open, right? Considering the contagion, companies get locked down here if one employee is sick.
discolemonade2.0 said @ 7:32am GMT on 26th Mar [Score:1 Sad]
This is America
Without a doctors note you work
Ive worked with flu and strep before
I have no insurance. I dont qualify for medicaid
Paracetamol said @ 2:30pm GMT on 26th Mar
Damn. You could ask NuncEstBibendum about his experience with the fever.
C18H27NO3 said @ 8:56pm GMT on 26th Mar
I've worked with flu and strep while having perfectly good insurance. Don't know the specifics of your situation, but sorry you feel trapped. Especially now.
Bruceski said @ 3:47pm GMT on 24th Mar
I have allergies. Don't add my goopy nasal passages to the list of things to be paranoid about.
Paracetamol said @ 9:59am GMT on 25th Mar
Ah sorry. Funny, a colleague told me the exact thing the day before I worked from home.
SnappyNipples said @ 6:38pm GMT on 24th Mar
If and when I cant taste my food I'd be worried i'm stroking out.
mechanical contrivance said @ 7:18pm GMT on 24th Mar
If you're stroking one out while eating, you're living the good life.
Headlessfriar said @ 6:02am GMT on 25th Mar
I order my sandwich "holding the mayo", or as it's now called, Loius CK style.
yogi said @ 8:44am GMT on 30th Mar
Yes to losing one's sense of smell--I read that in a tweet from a guy who had just recovered and whose symptoms were mild.

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