Abstract

Olfactory dysfunction is one of the key symptoms of virus neuro tropism and olfactory cleft has been posed as the portal of entry. With the emerging pandemic, this has become one of the most distinct symptoms of COVID infection. Smell disorders have a major impact on quality of life. Impaired smell affects the capability to appreciate odours of food; environment and can subsequently lead to weight loss and malnutrition, depression, psychological stress and even failure to recognise dangerous chemicals. In this article 16 COVID positive patients who presented with have been followed up to assess the outcome. 15 out of 16 patients were treated based on the algorithm and followed up to know the outcome. One patient denied any treatment and is on routine follow up. Post COVID cacosmia is an overlooked yet dreaded complication of COVID-19 infection that affects the quality of life of the subjects. Intranasal steroid spray is the corner stone to treatment with routine follow up and reassurance to maintain treatment adherence. Oral steroids play major role in refractory cases. Co morbidity immunosuppression and other nasal pathologies seem to play little or no role in the pathogenesis. Involvement of other speciality medics like psychiatry and clinical psychologist plays a pivotal role in certain cases. Persistent reassurance is the key to successful treatment result.