Ageusia and anosmia, a common sign of COVID-19? A case series from four countries

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Ageusia and anosmia, a common sign of COVID-19? A case series from four countries Jair Vargas-Gandica 1,2 & Daniel Winter 1 & Rainer Schnippe 1 & Andrea G. Rodriguez-Morales 2,3 & Johana Mondragon 2 & Juan Pablo Escalera-Antezana 2,4,5 & María del Pilar Trelles-Thorne 6 & D. Katterine Bonilla-Aldana 2,7,8 & Alfonso J. Rodriguez-Morales 2,5,8,9,10 & Alberto Paniz-Mondolfi 2,6,10,11,12,13 Received: 2 May 2020 / Revised: 5 June 2020 / Accepted: 15 June 2020 # Journal of NeuroVirology, Inc. 2020

Abstract Over the course of the pandemic due to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), multiple new clinical manifestations, as the consequence of the tropism of the virus, have been recognized. That includes now the neurological manifestations and conditions, such as headache, encephalitis, as well as olfactory and taste disorders. We present a series of ten cases of RT-PCR-confirmed SARS-CoV-2-infected patients diagnosed with viral-associated olfactory and taste loss from four different countries. Keywords Anosmia . Ageusia . Clinical manifestations . Neurological . SARS-CoV-2 . COVID-19

Introduction As the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic continues to evolve, novel signs and symptoms continue to emerge and expand the clinical manifestations of coronavirus disease 2019 (COVID-19) (Rodriguez-Morales et al. 2020a). This includes an ever-

* Alfonso J. Rodriguez-Morales [email protected] 1

Klinik für Allgemeine Innere Medizin, Sankt Vinzenz Hospital, Rheda-Wiedenbrück, Germany

2

Latin American Network of Coronavirus Disease 2019-COVID-19 Research (LANCOVID-19), Pereira, Risaralda, Colombia

3

Unidad Procedimientos, Policlínico Neurología, Centro de Referencia de Salud Dr. Salvador Allende Gossens, Santiago de Chile, Chile

4

National Telehealth Program, Ministry of Health, La Paz, Bolivia

5

Universidad Privada Franz Tamayo/UNIFRANZ, Cochabamba, Bolivia

6

Icahn School of Medicine at Mount Sinai, New York, NY, USA

7

Semillero de Zoonosis, Grupo de Investigación BIOECOS, Fundación Universitaria Autónoma de las Américas, Sede Pereira, Pereira, Risaralda, Colombia

increasing number of reports linking the virus to a number of presumed neurological disorders (Paniz-Mondolfi et al. 2020). The spectrum of neurological manifestations includes headache (Rodriguez-Morales et al. 2020b), encephalitis, GuillainBarre syndrome (Zhao et al. 2020), as well as olfactory and taste dysfunction (Ollarves-Carrero et al. 2020). Despite recognition of these symptoms, there is still a lack of reports,

8

Public Health and Infection Research Group, Faculty of Health Sciences, Universidad Tecnologica de Pereira, Pereira, Risaralda, Colombia

9

Grupo de Investigación Biomedicina, Faculty of Medicine, Fundación Universitaria Autónoma de las Américas, Pereira, Risaralda, Colombia

10

Committee on Travel Medicine, Pan-American Infectious Diseases Association, Asuncion, Paraguay

11

Laboratorio de Señalización Celular y Bioquímica de Parásitos, Instituto