TY - JOUR
T1 - Oropharyngeal Dysphagia and Aspiration Pneumonia Following Coronavirus Disease 2019
T2 - A Case Report
AU - Aoyagi, Yoichiro
AU - Ohashi, Miho
AU - Funahashi, Reisuke
AU - Otaka, Yohei
AU - Saitoh, Eiichi
N1 - Publisher Copyright:
© 2020, The Author(s).
PY - 2020/8/1
Y1 - 2020/8/1
N2 - Cranial nerve involvement is a finding often observed in patients infected with severe acute respiratory syndrome coronavirus 2 during the pandemic outbreak of coronavirus disease 2019 (COVID-19). To our knowledge, this is the first report of oropharyngeal dysphagia associated with COVID-19. A 70-year-old male developed dysphagia and consequent aspiration pneumonia during recovery from severe COVID-19. He had altered sense of taste and absent gag reflex. Videoendoscopy, videofluorography, and high-resolution manometry revealed impaired pharyngolaryngeal sensation, silent aspiration, and mesopharyngeal contractile dysfunction. These findings suggested that glossopharyngeal and vagal neuropathy might have elicited dysphagia following COVID-19. The current case emphasizes the importance of presuming neurologic involvement and concurrent dysphagia, and that subsequent aspiration pneumonia might be overlooked in severe respiratory infection during COVID-19.
AB - Cranial nerve involvement is a finding often observed in patients infected with severe acute respiratory syndrome coronavirus 2 during the pandemic outbreak of coronavirus disease 2019 (COVID-19). To our knowledge, this is the first report of oropharyngeal dysphagia associated with COVID-19. A 70-year-old male developed dysphagia and consequent aspiration pneumonia during recovery from severe COVID-19. He had altered sense of taste and absent gag reflex. Videoendoscopy, videofluorography, and high-resolution manometry revealed impaired pharyngolaryngeal sensation, silent aspiration, and mesopharyngeal contractile dysfunction. These findings suggested that glossopharyngeal and vagal neuropathy might have elicited dysphagia following COVID-19. The current case emphasizes the importance of presuming neurologic involvement and concurrent dysphagia, and that subsequent aspiration pneumonia might be overlooked in severe respiratory infection during COVID-19.
KW - Coronavirus disease 2019
KW - Deglutition
KW - Deglutition disorder
KW - Severe acute respiratory syndrome coronavirus 2
KW - Vagus nerve
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U2 - 10.1007/s00455-020-10140-z
DO - 10.1007/s00455-020-10140-z
M3 - Letter
C2 - 32533346
AN - SCOPUS:85086340620
SN - 0179-051X
VL - 35
SP - 545
EP - 548
JO - Dysphagia
JF - Dysphagia
IS - 4
ER -