Öz
Amaç
Koronavirüs hastalığı-2019 (COVID-19) ile ilişkili tat ve koku alma duyusunun nitel ve nicel bozukluklarının pediyatrik hastalarda yetişkinlere göre nispeten nadir olduğu bildirilmektedir. Amacımız, COVID-19 ile ilişkili tat ve koku alma bozukluğu olan pediyatrik olguları değerlendirerek literatürü desteklemektir.
Yöntem
Kasım 2020-Kasım 2021 tarihleri arasında koku ve tat alma duyusunda nicel ve/veya nitel bozukluk nedeniyle başvuran hastalar çalışmaya dahil edildi. Çalışmaya alınan hastaların duyusal bozukluklarının seyri tıbbi kayıtlardan elde edilerek retrospektif olarak değerlendirildi.
Bulgular
On beş hasta semptomatik COVID-19 enfeksiyonu öyküsü olsun veya olmasın tat ve/veya koku bozuklukları nedeniyle yatırıldı. Tüm olgularda (%100) anosmi ve 14’ünde (%93,3) ageuzi vardı. Parosmi ve fantosmi, sırasıyla tüm çocuklarda ve 13 çocukta (%86,6) mevcuttu. Sekiz olguda (%53,3) hem fantogeuzi hem de parageuzi vardı. Anosmi ve ageuzinin tamamen iyileşmesi sırasıyla 24,7±14,5 ve 19,6±8,4 gün sürdü. Parosmi ve fantosmi 9,5±2,8 ve 10,1±2,5 ayda çözüldü. Paragusis ve fantogusis’in iyileşmesi, nitel koku duyusu bozukluklarından daha kısa sürdü (sırasıyla 8,7±2,4 ve 8,7±2,5 ay). Kraniyal manyetik rezonans görüntüleme ve elektroensefalogram incelemeleri olguların 9’unda (%60) normaldi.
Sonuç
Çocukluk çağı COVID-19 enfeksiyonuna bağlı duyusal bozukluklar hakkında literatürde yeterli veri bulunmamaktadır. Çalışmamız, literatürde pediyatrik hastalarda duyusal bozuklukların en uzun takip sürelerini kaydeden ilk çalışmadır.
Anahtar Kelimeler:
COVID-19, koku, koku alma bozukluğu, tat alma, tat alma bozukluğu
Kaynaklar
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