DOI: 10.12890/2020_002048

Infectious Mononucleosis Presenting with Loss of Taste and Smell During the SARS-CoV-2 Pandemic?

Authors

  • Krishna Nareshkumar Patel Barnsley District General Hospital, Barnsley, UK
  • Muhammad Hussein Barnsley District General Hospital, Barnsley, UK
  • Amir Khalil Barnsley District General Hospital, Barnsley, UK
  • Najeeb Rehman Barnsley District General Hospital, Barnsley, UK
  • Hazim Mahdi Barnsley District General Hospital, Barnsley, UK
  • Muhammad Jamil Malik Barnsley District General Hospital, Barnsley, UK
  • Salim P L Meghjee Barnsley District General Hospital, Barnsley, UK

krishna_patel6392@hotmail.com

Keywords

Infectious mononucleosis, taste, smell, SARS-CoV-2

Abstract

A 53-year-old woman presented during the SARS-CoV-2 pandemic with an 18-day history of pyrexia, myalgia, progressive dyspnoea and loss of taste and smell after a close contact had tested positive for SARS-CoV-2. In this period two swabs had been negative for SARS-CoV-2. Clinical examination was normal. During this admission a third SARS-CoV-2 swab was negative, and investigations showed mildly elevated inflammatory markers, mildly deranged liver function, atypical lymphocytes on a blood film and a normal chest x-ray. Her Epstein–Barr virus serology was positive and thus the diagnosis was infectious mononucleosis.

View the entire article

Downloads

References

  1. Balfour HH Jr, Dunmire SK, Hogquist KA. Infectious mononucleosis. Clin Transl Immunol 2015;4(2):e33.
  2. Cascella M, Rajnik M, Cuomo A, Dulebohn SC, Di Napoli R. Features, evaluation, and treatment of coronavirus (COVID-19) [Updated 2020 Aug 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554776/
  3. da Costa K, Carnaúba A, Rocha KW, de Andrade K, Ferreira S, Menezes PL. Olfactory and taste disorders in SARS-CoV-2: a systematic review. Brazil J Otorhinolaryngol 2020 Jun 9;S1808-8694(20)30066-5. doi: 10.1016/j.bjorl.2020.05.008 [Epub ahead of print].
  4. Arevalo-Rodriguez I, Buitrago-Garcia D, Simancas-Racines D, Zambrano-Achig P, del Campo R, Ciapponi A, et al. False-negative results of initial RT-PCR assays for SARS-CoV-2: a systematic review. medRxiv 2020.04.16.20066787. doi: https://doi.org/10.1101/2020.04.16.20066787
  5. Suzuki M, Saito K, Min WP, Vladau C, Toida K, Itoh H, Murakami S. Identification of viruses in patients with postviral olfactory dysfunction. Laryngoscope 2007;117(2):272–277.
Di Liza Gross - (2005) Virus Proteins Prevent Cell Suicide Long Enough to Establish Latent Infection. PLoS Biol 3(12): e430 DOI: 10.1371/journal.pbio.0030430http://biology.plosjournals.org/perlserv?request=get-document&doi=10.1371/journal.pbio.0030430, CC BY 2.5, https://commons.wikimedia.org/w/index.php?curid=861856

Published

2020-11-26

Issue

Vol. 7 No. 12 (2020)

How to Cite

1.
Patel KN, Hussein M, Khalil A, Rehman N, Mahdi H, Malik MJ, et al. Infectious Mononucleosis Presenting with Loss of Taste and Smell During the SARS-CoV-2 Pandemic? EJCRIM [Internet]. 2020 Nov. 26 [cited 2026 Nov. 3];7(12). Available from: https://ejcrim.com/index.php/ejcrim/article/view/2048