Cranial nerve involvement is a finding often observed in patients infected with severe acute respiratory syndrome coronavirus 2 during the pandemic outbreak of coronavirus disease 2019 (COVID-19). To our knowledge, this is the first report of oropharyngeal dysphagia associated with COVID-19. A 70-year-old male developed dysphagia and consequent aspiration pneumonia during recovery from severe COVID-19. He had altered sense of taste and absent gag reflex. Videoendoscopy, videofluorography, and high-resolution manometry revealed impaired pharyngolaryngeal sensation, silent aspiration, and mesopharyngeal contractile dysfunction. These findings suggested that glossopharyngeal and vagal neuropathy might have elicited dysphagia following COVID-19. The current case emphasizes the importance of presuming neurologic involvement and concurrent dysphagia, and that subsequent aspiration pneumonia might be overlooked in severe respiratory infection during COVID-19.
【저자키워드】 severe acute respiratory syndrome coronavirus 2, Coronavirus disease 2019, vagus nerve, Deglutition, Deglutition disorder, 【초록키워드】 COVID-19, coronavirus disease, coronavirus, pandemic, severe COVID-19, knowledge, outbreak, male, Patient, Dysphagia, Oropharyngeal, aspiration pneumonia, High-resolution, sense of taste, Cranial nerve, dysfunction, acute respiratory syndrome, severe respiratory infection, neurologic, subsequent, suggested, elicited, silent, contractile, with COVID-19, 【제목키워드】 report, aspiration,