2020
DOI: 10.1177/0194599820920649
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Otolaryngology Providers Must Be Alert for Patients with Mild and Asymptomatic COVID‐19

Abstract: More than half of COVID-19 patients are afebrile early in the disease course, yet mildly ill or asymptomatic patients can still spread SARS-CoV-2 with high efficiency. Atypically presenting patients may be seen in noninfectious disease settings such as otolaryngology, which is a specialty prone to occupational exposure. Otolaryngologists have been infected with COVID-19 at higher rates than other specialties in China and other countries. Otolaryngology providers should maintain high clinical suspicion for mild… Show more

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Cited by 55 publications
(65 citation statements)
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“…Physicians who work in the field of the head and neck are among the HCPs most infected with SARS-CoV-2 in different regions of the world. 5,[8][9][10][11] Patients with COVID-19 usually present with symptoms seen by these specialists, such as cough, sore throat, headache, increased sputum production and anosmia. Half of these patients do not present fever at the onset, lowering the index of suspicion of the disease.…”
Section: Discussionmentioning
confidence: 99%
See 3 more Smart Citations
“…Physicians who work in the field of the head and neck are among the HCPs most infected with SARS-CoV-2 in different regions of the world. 5,[8][9][10][11] Patients with COVID-19 usually present with symptoms seen by these specialists, such as cough, sore throat, headache, increased sputum production and anosmia. Half of these patients do not present fever at the onset, lowering the index of suspicion of the disease.…”
Section: Discussionmentioning
confidence: 99%
“…Half of these patients do not present fever at the onset, lowering the index of suspicion of the disease. 8,12 Furthermore, physical examination in these specialties require exposure to the nasal and oral cavities and oropharynx. These regions present high concentrations of SARS-CoV-2, even in the asymptomatic patients, who may also spread the disease.…”
Section: Discussionmentioning
confidence: 99%
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“…4 Asymptomatic coronavirus carriage has been a further concern. 5 There was an urgent need to recognise, manage and reduce the risk of Covid-19 to ENT clinicians. 6 ENT UK, the professional membership body representing ENT surgeons in the UK, created a designated Covid-19 resource and has published multiple guidance documents.…”
Section: Introductionmentioning
confidence: 99%