Olfactory dysfunction is more severe in wild-type SARS-CoV-2 infection than in the Delta variant (B.1.617.2)

Research output: Contribution to journalLetterContributedpeer-review

Contributors

  • Ludger Klimek - , Center for Rhinology and Allergology Wiesbaden (Author)
  • Jan Hagemann - , University Hospital Hamburg Eppendorf (Author)
  • Thomas Hummel - , Department of Otorhinolaryngology, Head and Neck Surgery (Author)
  • Aytug Altundag - , Biruni Universitesi (Author)
  • Constantin Hintschich - , University Hospital Regensburg (Author)
  • Sabine Stielow - , COVID-19 Test Center Wiesbaden (Author)
  • Jean Bousquet - , Hospital de Basurto (Author)

Abstract

Olfactory dysfunction is common in COVID-19, and sudden-onset dysosmia is an early marker for wild-type SARS-CoV-2 infection. Over 10 000 mutations of SARS-CoV-2 have been registered, with variants of concern (VOC) under particular scrutiny. We report a telemedicine-based, multicentre, prospective cohort study with quantitative olfaction testing comparing 79 patients with a confirmed VOC-Delta (n = 21) or wild-type (WT) SARS-CoV-2 infection. Acute SARS-CoV-2 infection led to significant decrease of olfactory function in both cohorts. A majority of patients suffered from hyposmia or anosmia at inclusion with only 26 individuals performing normosmic. Sniffin'Sticks total scores were significantly higher for VOC-Delta patients at onset of illness, compared to WT patients (p < 0.001). At 4 weeks follow-up, olfaction scores recovered only partially for WT patients, thus odds of recovery were stronger in VOC-Delta patients. Also, subjective self-rating of chemosensory function was lower in WT, compared to VOC-Delta patients. The need for ongoing olfaction studies and their prognosis in SARS-CoV-2 background remains urgent, also in the light of increasing numbers of olfaction-related patient presentations.

Details

Original languageEnglish
Article number100653
Pages (from-to)100653
JournalWorld Allergy Organization journal
Volume15
Issue number6
Publication statusPublished - Jun 2022
Peer-reviewedYes

External IDs

PubMedCentral PMC9095455
Scopus 85130547283
unpaywall 10.1016/j.waojou.2022.100653
ORCID /0000-0001-9713-0183/work/146645227

Keywords