A recent study reports the first occurrence of vocal cord paralysis in an adolescent following viral Covid-19 infection; other adults also report this effect.
In a recent study, researchers reported the first occurrence of vocal cord paralysis in children after contracting Covid-19.
The paralysis, according to the physician-researchers at Massachusetts Eye and Ear Hospital in the US, was probably a side effect of the viral infection and could be another one of the “well-established” nervous system-related or neuropathic complications that have been seen in both adults and children.
The patient, a female 15-year-old who was generally in good health, was brought to the emergency room 13 days after being diagnosed with acute onset shortness of breath due to SARS-CoV-2 infection, as the researchers detailed in their publication in the journal Pediatrics. She had a past filled with worry and asthma.
Bilateral vocal cord paralysis, which is defined as the immobility of both vocal cords located in the voice box, or “larynx,” was discovered during an endoscopic examination, according to the researchers.
First author Danielle Reny Larrow, a resident in the Department of Otolaryngology-Head and Neck Surgery, said, “Given how common this virus is among children, this newly recognised potential complication should be considered in any child presenting with a breathing, talking, or swallowing complaint after a recent Covid-19 diagnosis.”
“This is especially important as such complaints could be easily attributed to more common diagnoses such as asthma,” Larrow stated.
According to the researchers, the patient underwent a comprehensive battery of diagnostic tests while in the hospital. These tests included blood work, imaging, cerebrospinal fluid analysis, and consultations with specialists in otolaryngology (a branch of medicine that treats disorders of the ear, nose, and throat), neurology, psychiatry, speech language pathology, and neurosurgery.
The doctors conducted a tracheostomy, a surgically produced opening in the windpipe, to relieve the patient’s breathing difficulties after speech therapy failed to alleviate the patient’s symptoms.
The fact that she continued to require a tracheostomy more than 13 months after starting treatment raises the possibility that this kind of nerve issue is not just transient.
They said that after submitting a case report, they were able to remove it fifteen months after it was first inserted.
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