Mohammad Bashir Nejabi1, Noor Ahmad Shah Noor1, Nahid Raufi2,3, Mohammad Yasir Essar1,4, Ehsanullah Ehsan5, Jaffer Shah4,6, Asghar Shah7, Arash Nemat8,9. 1. Faculty of Dentistry, Kabul University of Medical Sciences, Kabul, Afghanistan. 2. Department of Dermatology, Kabul University of Medical Sciences, Kabul, Afghanistan. 3. Department of Dermatology, Guangdong Provincial Dermatology Hospital, Southern Medical University, Guangzhou, China. 4. Medical Research Center, Kateb University, Kabul, Afghanistan. 5. Department of Dermatology, Alberoni University, Kapisa, Afghanistan. 6. Drexel University College of Medicine, Philadelphia, PA, USA. 7. Division of Biology and Medicine, Brown University, Providence, RI, USA. 8. Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China. dr.arashnemat@yahoo.com. 9. Department of Microbiology, Kabul University of Medical Sciences, University Road, Ali Abad, Jamal Mina, 3rd District, Kabul, 1001, Afghanistan. dr.arashnemat@yahoo.com.
Abstract
BACKGROUND: The emergence of COVID-19 has devastated many parts of the world. From asymptomatic to symptomatic, the virus causes a wide spectrum of presentations. COVID-19 patients may present with oral manifestations. In Afghanistan, where COVID-19 has severely strained the health care system, much of the population lacks proper oral hygiene. This makes the oral cavity a perfect site for SARS-CoV-2 to manifest clinical signs. CASE PRESENTATION: A 62-year-old male was evaluated in the Dentistry Teaching Clinic of Kabul University of Medical Sciences for a painful erosive lesion on dorsal surface of his tongue. He also complained of fever, cough, and taste alteration. He was referred to Afghan Japan Hospital for COVID-19 testing and tested positive. He was followed on for the treatment of SARS-CoV2. After 2 weeks, the patient tested negative and returned to the dentistry clinic for follow-up. Although there were no other signs of COVID-19, the painful erosive lesion on his tongue persisted. Oral evaluation were performed and the patient was advised to practice good hygiene. After 10 days, we observed an asymptomatic geographic tongue without fever and myalgias and the lesion of dorsal surface of tongue improved from severe condition to moderate. CONCLUSION: In conclusion, patients with suspected or confirmed SARS-CoV-2 should be screened for symptoms and physical findings in the oral mucosa To prevent such an outcome, awareness programs need to be implemented for the diagnosis and management of clinical symptoms among patients.
BACKGROUND: The emergence of COVID-19 has devastated many parts of the world. From asymptomatic to symptomatic, the virus causes a wide spectrum of presentations. COVID-19patients may present with oral manifestations. In Afghanistan, where COVID-19 has severely strained the health care system, much of the population lacks proper oral hygiene. This makes the oral cavity a perfect site for SARS-CoV-2 to manifest clinical signs. CASE PRESENTATION: A 62-year-old male was evaluated in the Dentistry Teaching Clinic of Kabul University of Medical Sciences for a painful erosive lesion on dorsal surface of his tongue. He also complained of fever, cough, and taste alteration. He was referred to Afghan Japan Hospital for COVID-19 testing and tested positive. He was followed on for the treatment of SARS-CoV2. After 2 weeks, the patient tested negative and returned to the dentistry clinic for follow-up. Although there were no other signs of COVID-19, the painful erosive lesion on his tongue persisted. Oral evaluation were performed and the patient was advised to practice good hygiene. After 10 days, we observed an asymptomatic geographic tongue without fever and myalgias and the lesion of dorsal surface of tongue improved from severe condition to moderate. CONCLUSION: In conclusion, patients with suspected or confirmed SARS-CoV-2 should be screened for symptoms and physical findings in the oral mucosa To prevent such an outcome, awareness programs need to be implemented for the diagnosis and management of clinical symptoms among patients.
Entities:
Keywords:
COVID-19; Case report; Coronavirus; Oral manifestation; SARS-CoV-2; Tongue ulcer
Authors: Livia Barenghi; Alberto Barenghi; Umberto Garagiola; Alberto Di Blasio; Aldo Bruno Giannì; Francesco Spadari Journal: Sensors (Basel) Date: 2021-12-22 Impact factor: 3.576