Monira Taha ISMAIL, Mahmoud Mohamed NASER

Parotitis as clinical manifestation of COVID-19 infection, emergency physician experience: A case report

COVID-19 (coronavirus disease 2019) is a viral infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and a World Health Organization (WHO) declared pandemic. Infection is caused by SARS-CoV-2, the usual clinical presentations of coronavirus disease 2019 (COVID-19), include upper respiratory tract symptoms as fever, sore throat, cough, dyspnea, rhinorrhea, myalgia, headache, also it can also manifest by diarrhea and olfactory impairment. We aim to increase knowledge about clinical presentation of COVID-19 to decreased missed cases.Our case is description of COVID-19 case for an emergency medicine physician who manifested with atypical presentation that is acute parotitis.Acute parotitis is confirmed to be a clinical manifestation of coronavirus disease 2019.

PDF

___

1. Wuhan coronavirus (2019-nCoV) Global cases (by Johns Hopkins CSSE). Case Dashboard accessed date 21 June 2020

2. Guan WJ, Ni ZY, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in china. N Engl J Med. 2020;382:1708-20.

3. Zhiliang Hu, Ci Song, Chuanjun Xu, et al. Clinical characteristics of 24 asymptomatic infections with COVID-19 screened among close contacts in Nanjing, China. Sci China Life Sci. 2020;63:706-11.

4. Velavan TP, Meyer CG. The Covid-19 epidemic. Trop Med Int Health. 2020;25:278-80.

5. Zheng YY, Ma YT, Zhang JY, et al. COVID-19 and the cardiovascular system. Nature reviews. Cardiology. Nat Rev Cardiol. 2020;17:259-60.

6. Wu Y, Xu X, Chen Z, et al. Nervous system involvement after infection with COVID-19 and other coronaviruses. Brain Behav Immun. 2020;87:18-22

7. Hopkins C, Kumar N. Loss of sense of smell as marker of COVID-19 infection (letter). ENT UK website accessed date 23 March 2020.

8. Lüers JC, Klußmann JP, Guntinas-Lichius O. The Covid-19 pandemic and otolaryngology: What it comes down to? Laryngorhinootologie. 2020;99:287- 91.

9. Lechien JR, Chiesa-Estomba CM, De Siati DR, et al. Olfactory and gustatory dysfunctions as a clinical presentation of mild-to-moderate forms of the coronavirus disease (COVID-19): a multicenter European study. Eur Arch Otorhinolaryngol. 2020;277:2251-61.

10. World Health Organization: Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19), 2020.

11. Ping Wu, Fang Duan, Chunhua Luo, et al. Characteristics of Ocular Findings of Patients With Coronavirus Disease 2019 (COVID-19) in Hubei Province, China. JAMA Ophthalmol. 2020;138:575-8.

12. Chen L, Liu M, Zhang Z, et al. Ocular manifestations of a hospitalised patient with confirmed 2019 novel coronavirus disease. Br J Ophthalmol. 2020;104:748-51.

13. Scalinci SZ, Trovato Battagliola E. Conjunctivitis can be the only presenting sign and symptom of COVID-19.ID Cases. 2020;20:e00774.

14. Recalcati S. Cutaneous manifestations in COVID-19: a first perspective. J Eur Acad Dermatol Venereol. 2020;34:299-300.

15. Dong Y, Mo X, Hu Y, et al. Epidemiological Characteristics of 2143 Pediatric Patients with 2019 Coronavirus Disease in China. Pediatrics. 2020.

16. Ludvigsson JF. Systematic review of COVID-19 in children show milder cases and a better prognosis than adults. Acta Paediatr. 2020;109:1088-95.

17. Lu X, Zhang L, Du H, et al. SARS-CoV-2 Infection in children. N Engl J Med. 2020;382:1663-5.

18. Lauren M Kucirka, Stephen A. Lauer, Oliver Laeyendecker, et al. Variation in false-negative rate of reverse transcriptase polymerase chain reaction–based SARS-CoV-2 tests by time since exposure. Ann Intern Med. 2020;173:262-7.

19. Wang WK, Chen SY, Liu IJ, et al. SARS Research group of the national taiwan university/national taiwan university hospital. detection of SARS-associated coronavirus in throat wash and saliva in early diagnosis. Emergency Infect Dis. 2004;10:1213-9.

20. Pasquale C, Lorenzo P, Mario C, et al. Acute Parotitis: A Possible Precocious Clinical Manifestation of SARS-CoV-2 Infection? Otolaryngol Head Neck Surg. 2020;163:182-3.

21. To KKW, Tsang OTY, Yip CCY, et al. Consistent detection of 2019 novel coronavirus in saliva. Clin Infect Dis. 2020;12: ciaa149