Happy Hypoxemia in COVID-19-A Neural Hypothesis

Many COVID-19 patients are presenting with atypical clinical features. Happy hypoxemia with almost normal breathing, anosmia in the absence of rhinitis or nasal obstruction, and ageusia are some of the reported atypical clinical findings. Based on the clinical manifestations of the disease, we are proposing a new hypothesis that SARS-CoV-2 mediated inflammation of the nucleus tractus solitarius may be the reason for happy hypoxemia in COVID-19 patients.

Keywords: Ageusia; COVID-19; Carotid body; Cranial nerves; Happy hypoxemia; Nucleus tractus solitarius.