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Halitosis in COVID‐19 patients

Abanoub Riad, Islam Kassem, B. Hockova, M. Badrah, M. Klugar

Special Care in Dentistry: managing special patients, settings, and situations, 2020

19 participants · 27 citations

Abstract

Dear Editor, Halitosis is a reflective condition for an array of systemic insults such as respiratory, otolaryngologic and gastrointestinal pathologies that may alter salivary characteristics and tongue dorsum susceptibility for hosting anaerobic microorganisms. The high prevalence of halitosis globally requires a multidisciplinary approach for its diagnosis, assessment and treatment to discriminate between genuine, pseudoand denied halitosis based on subjective metrics.1 As with other circulating pandemics, halitosis has been greatly challenged by the outbreak of the coronavirus disease (COVID-19), and a few confirmed cases were reported to present with halitosis while being actively infected.2 We hereby aim to report according to the CARE guidelines, the demographic, clinical and laboratory characteristics of eighteen patients with confirmed COVID-19 without any relevant medical history, who experienced new-onset halitosis during their course of infection.3 The referenced patients sought care at our department between May and August 2020 due to an offensive oral malodour that precipitated notable psychosocial distress, especially with their spouses. All patients had previously undergone polymerase chain reaction (PCR) testing for severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) for various reasons, for instance: before-travel screening (22.2%), after-travel screening (27.8%), being in contact with a positive case (22.2%), presenting with mild symptoms such as…

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