Oral Findings in Patients with COVID-19 Infection: Report of Two Cases and Review of Literature
Arpita Rai
Department of Oral Medicine and Radiology, Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand-834009, India.
Ansul Kumar
Department of Cardio- thoracic and Vascular Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand-834009, India.
Apoorv Rana *
Faculty of Dentistry, Jamia Milla Islamia, New Delhi-110025, India.
Shradha Singh
Faculty of Dentistry, Jamia Milla Islamia, New Delhi-110025, India.
Deborah Sybil
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Jamia Millia Islamia, New Delhi- 110025, India.
*Author to whom correspondence should be addressed.
Abstract
Few reports have been published highlighting oral findings in COVID-19 patients. Since the outbreak of the recent pandemic caused by SARS-CoV-2, it is important to illustrate in the very near future how recurrent these oral findings are in the symptomatic COVID-19 patients in contrast to those asymptomatic ones, as there are multiple findings reported. This case study reports a new combination of oral findings in two COVID-19 patients from India, one symptomatic, and other asymptomatic. Cases presenting oral findings in asymptomatic COVID-19 patients are the rarest. Moreover, till now, petechial or purpuric lesions, solely as theoral findings without any associated skin lesions and oral mucosal hyperpigmentation of our patients are the rare oral findings to be reported in COVID-19 patients. These cases provide evidence for a deeper understanding of the oral alterations seen in COVID-19 patients that need to be addressed at present.
Keywords: COVID-19, oral manifestations, SARS-CoV- 2, petechiae, purpura