2020, Número 3
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Otorrinolaringología 2020; 65 (3)
Alteraciones del gusto y olfato en el contexto de la pandemia por SARSCoV- 2. Análisis preliminar
Romero-Gameros CA, López-Moreno MA, Anaya-Dyck A, Flores-Najera SS, Mendoza-Zubieta V, Martínez-Ordaz JL, Waizel-Haiat S
Idioma: Español
Referencias bibliográficas: 40
Paginas: 147-155
Archivo PDF: 262.15 Kb.
RESUMEN
A finales de 2019 se identificó un nuevo coronavirus, designado SARS-CoV-2, como
el causante de un brote de enfermedad respiratoria aguda en Wuhan, China, posteriormente
llamada COVID-19 por la Organización Mundial de la Salud. Fue declarada
pandemia el 11 de marzo de 2020. Se ha reportado que de 5.1 a 98% de los enfermos
de COVID-19 tienen alteraciones del olfato y gusto, que se manifiestan incluso antes
de todos los síntomas, lo que conlleva a la gran importancia de reconocer a estas alteraciones
como biomarcador de la enfermedad. Se han propuesto tres vías de invasión
del SARS-CoV-2 al sistema nervioso:
1) la vía hematógena,
2) la vía directa y
3) el
transporte axonal retrógrado al sistema nervioso central. A la fecha, ninguno de los
tratamientos farmacológicos propuestos contra las alteraciones del olfato y gusto tienen
suficiente evidencia científica que respalde su prescripción. En cuanto al pronóstico de
las alteraciones del gusto y olfato la recuperación tiende a ser completa en un lapso de
0 a 30 días, durante los primeros ocho días se reporta mejoría en 27 a 31.9% de los
pacientes después del alivio de los síntomas generales.
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