COVID-19 : SARS-CoV-2 Isolated From Middle Ear, Mastoid Bone

SARS-CoV-2 has been isolated from mastoid-bones and middle-ear autopsy specimens from two patients who died with COVID-19, which has implications for otolaryngology practice, according to a new report.

“Identification of a new area of body infected by the SARS-CoV-2 virus is relevant and helpful for understanding risk for transmitting infection during procedures,” said Dr. C. Matthew Stewart of Johns Hopkins School of Medicine, in Baltimore, Maryland.

“Knowledge of these proven risks can help protect healthcare providers during physical examination and common procedures of the ear and mastoid,” he told Reuters Health by email.

Middle-ear effusions have been shown to contain some non-SARS-CoV-2 coronaviruses, but there are no human data relating to the SARS-CoV-2 virus in the middle ear.

Dr. Stewart and colleagues selected three COVID-19-positive decedents and performed bilateral cortical mastoidectomy and exposure of the aditus.

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