PropertyValue
?:abstract
  • Limited knowledge about the contagiosity and case fatality rate of COVID-19 as well as the still enigmatic route of transmission have led to strict limitations of non-emergency health care especially in head and neck medicine and dentistry. There are theories that the oral cavity provides a favorable environment for SARS-CoV-2 entry and persistence which may be a risk for prolonged virus shedding. However, intraoral innate immune mechanisms provide antiviral effects against a myriad of pathogenic viruses. Initial hints of their efficacy against SARS-CoV-2 are surfacing. It is hypothesized that intraoral immune system activity modulates the invasion pattern of SARS-CoV-2 into oral cells. Thus, the significance of intraoral tissues for SARS-CoV-2 transmission and persistence cannot be assessed. The underlying concept for this hypothesis was developed by the critical observation of a clinically asymptomatic COVID-19 patient. Despite a positive throat swab for SARS-CoV-2, molecular pathologic analysis of an oral perisulcular tissue specimen failed to detect SARS-CoV-2 RNA. More research effort is necessary to define the true origin of the contagiosity of asymptomatic COVID-19 patients.
is ?:annotates of
?:creator
?:doi
?:doi
  • 10.1016/j.mehy.2020.110419
?:journal
  • Med_Hypotheses
?:license
  • no-cc
?:pdf_json_files
  • document_parses/pdf_json/13a0235ac89f8c9cefc4de6a22e4bb1945f2046a.json
?:pmc_json_files
  • document_parses/pmc_json/PMC7683957.xml.json
?:pmcid
?:pmid
?:pmid
  • 33309251.0
?:publication_isRelatedTo_Disease
?:sha_id
?:source
  • Elsevier; Medline; PMC
?:title
  • Is the oral cavity a reservoir for prolonged SARS-CoV-2 shedding?
?:type
?:year
  • 2020-11-24

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