Autopsy shows coronavirus can infect the middle ear

Center for Disease Control and Prevention

Diagram of ear infection.

Ear, nose, and throat experts have known for years that coronaviruses like colds and flu can spread to the middle ear. The same is now true for the coronavirus that causes COVID-19.

The colonization of the middle ear-the cavity behind the eardrum-has not caused any known additional symptoms or infections, but ear doctors may wear protective equipment during surgery and certain in-house procedures. I strongly recommend it.

The results are published in the JAMA Otolaryngology–Head & Neck Surgery journal.

At an autopsy performed at Johns Hopkins Hospital in Baltimore, Maryland, doctors found evidence of SARS-CoV-2 in the middle ear and mastoid areas of 2 of 3 COVID-19 patients.

The mastoid is a triangular portion of the skull that projects behind the ears. It contains the air space that connects it to the middle ear.

The virus is most likely transmitted through the Eustachian tube, which connects the middle ear to the upper throat behind the nose. Known as the nasopharynx, this bond is an early site of SARS-CoV-2 infection and a good place to wipe during coronavirus testing.

The authors found that the lack of evidence of SARS-CoV-2 in a third patient, a woman in her 60s, was a 44-hour period elapsed between death and necropsy, which may have degraded viral material. I assumed that could be due to.

The second patient, a woman in her 80s with a 48-hour gap separating death from necropsy, showed evidence of infection in only one of the four areas. By comparison, the first patient, a man in his 60s, had the virus present in all four areas examined after a 16-hour delay.

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As another explanation, the authors also suggested that the virus may not spread to all middle ears.

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