Anosmia in the course of COVID-19: A case report

Medicine (Baltimore). 2020 Jul 31;99(31):e21280. doi: 10.1097/MD.0000000000021280.

Abstract

Rationale: A sudden onset of anosmia has been recently recognized as a symptom of coronavirus disease (COVID-19).

Patient concerns: Here, we describe a case of complete anosmia in a young male with COVID-19. Although he had fever and odynophagia, no abnormalities were observed in his nasopharyngeal mucosa, suggesting that his anosmia resulted from olfactory neuropathy.

Diagnoses: COVID-19 was confirmed by RNA detection in nasopharyngeal swab specimen.

Interventions: The patient received olfactory training and B complex vitamins.

Outcomes: On day 30, the patient reported complete recovery of his sense of smell.

Lessons: As early diagnosis is fundamental to control the spread of COVID-19 infection, we emphasize that anosmia identified in febrile cases during the COVID-19 epidemic may be a symptom indicative of the disease. Moreover, COVID-19-related anosmia can be completely reversible.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Betacoronavirus*
  • COVID-19
  • Coronavirus Infections / complications*
  • Coronavirus Infections / virology
  • Humans
  • Male
  • Olfaction Disorders / virology*
  • Pandemics
  • Pneumonia, Viral / complications*
  • Pneumonia, Viral / virology
  • SARS-CoV-2