Analysis of olfactory function in patients with chronic rhinosinusitis and Staphylococcus aureus enterotoxin positivity

Abstract To investigate disparities in sensitisation to Staphylococcus aureus enterotoxin A/B (SEA/SEB) and olfactory function in patients with chronic rhinosinusitis (CRS) with nasal polyps (CRSwNP), those with CRS without nasal polyps (CRSsNP), and healthy controls who underwent septoplasty only....

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Main Authors: Minheon Kim, Hee Sung Chae, Dong Hwan Kwon, Eun Kyung Jeon, Young-Ha Lee, Eun Jung Lee
Format: Article
Language:English
Published: Nature Portfolio 2024-10-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-77459-7
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author Minheon Kim
Hee Sung Chae
Dong Hwan Kwon
Eun Kyung Jeon
Young-Ha Lee
Eun Jung Lee
author_facet Minheon Kim
Hee Sung Chae
Dong Hwan Kwon
Eun Kyung Jeon
Young-Ha Lee
Eun Jung Lee
author_sort Minheon Kim
collection DOAJ
description Abstract To investigate disparities in sensitisation to Staphylococcus aureus enterotoxin A/B (SEA/SEB) and olfactory function in patients with chronic rhinosinusitis (CRS) with nasal polyps (CRSwNP), those with CRS without nasal polyps (CRSsNP), and healthy controls who underwent septoplasty only. We retrospectively reviewed the medical records of 388 subjects aged ≥ 8 years, collected between January 2021 and June 2023. We analysed patient demographics, medical history, serum IgE levels against staphylococcal enterotoxins (SEs), and serum total IgE levels against inhalant allergens. We performed olfactory and taste function tests in the participants to evaluate the relationship between olfactory function and SEs. Of 388 patients enrolled, 145 were healthy controls, 111 had CRSsNP, and 133 had CRSwNP. The prevalence of SEA/SEB positivity was significantly higher among the patients with CRSwNP than among those in the CRSsNP and healthy controls. The olfactory test results showed significant differences among the groups; anosmia was observed in 9.7% of healthy controls, 22.7% of patients with CRSsNP, and 45.1% of patients with CRSwNP. Olfactory threshold deterioration was evident in patients with CRS. Distinction and identification were more impaired in patients with CRSwNP than in those of the other groups. Finally, the olfactory function scores decreased as the serum levels of SEs increased. Sinusitis patients seem to suffer from perceiving odours, and patients with CRSwNP have difficulty distinguishing odours. Olfactory function test scores decreased in patients with a history of asthma, and as serum levels of staphylococcus enterotoxin and blood eosinophil percentage increase. Furthermore, our result suggests a potential role for SE sensitisation and eosinophil percentage in deteriorating olfaction, especially in patients with CRSwNP.
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spelling doaj-art-aa688a58a1704d749ea9d3c79f016d162025-08-20T02:18:32ZengNature PortfolioScientific Reports2045-23222024-10-011411910.1038/s41598-024-77459-7Analysis of olfactory function in patients with chronic rhinosinusitis and Staphylococcus aureus enterotoxin positivityMinheon Kim0Hee Sung Chae1Dong Hwan Kwon2Eun Kyung Jeon3Young-Ha Lee4Eun Jung Lee5Department of Otorhinolaryngology-Head and Neck Surgery, Yonsei University Wonju College of MedicineDepartment of Otorhinolaryngology-Head and Neck Surgery, Yonsei University Wonju College of MedicineDepartment of Otorhinolaryngology-Head and Neck Surgery, Yonsei University Wonju College of MedicineDepartment of Otorhinolaryngology-Head and Neck Surgery, Yonsei University Wonju College of MedicineDepartment of Otorhinolaryngology-Head and Neck Surgery, Yonsei University Wonju College of MedicineDepartment of Otorhinolaryngology-Head and Neck Surgery, Yonsei University Wonju College of MedicineAbstract To investigate disparities in sensitisation to Staphylococcus aureus enterotoxin A/B (SEA/SEB) and olfactory function in patients with chronic rhinosinusitis (CRS) with nasal polyps (CRSwNP), those with CRS without nasal polyps (CRSsNP), and healthy controls who underwent septoplasty only. We retrospectively reviewed the medical records of 388 subjects aged ≥ 8 years, collected between January 2021 and June 2023. We analysed patient demographics, medical history, serum IgE levels against staphylococcal enterotoxins (SEs), and serum total IgE levels against inhalant allergens. We performed olfactory and taste function tests in the participants to evaluate the relationship between olfactory function and SEs. Of 388 patients enrolled, 145 were healthy controls, 111 had CRSsNP, and 133 had CRSwNP. The prevalence of SEA/SEB positivity was significantly higher among the patients with CRSwNP than among those in the CRSsNP and healthy controls. The olfactory test results showed significant differences among the groups; anosmia was observed in 9.7% of healthy controls, 22.7% of patients with CRSsNP, and 45.1% of patients with CRSwNP. Olfactory threshold deterioration was evident in patients with CRS. Distinction and identification were more impaired in patients with CRSwNP than in those of the other groups. Finally, the olfactory function scores decreased as the serum levels of SEs increased. Sinusitis patients seem to suffer from perceiving odours, and patients with CRSwNP have difficulty distinguishing odours. Olfactory function test scores decreased in patients with a history of asthma, and as serum levels of staphylococcus enterotoxin and blood eosinophil percentage increase. Furthermore, our result suggests a potential role for SE sensitisation and eosinophil percentage in deteriorating olfaction, especially in patients with CRSwNP.https://doi.org/10.1038/s41598-024-77459-7Smell (olfaction)Nasal polypsRhinosinusitisStaphylococcal enterotoxinsSensitisation
spellingShingle Minheon Kim
Hee Sung Chae
Dong Hwan Kwon
Eun Kyung Jeon
Young-Ha Lee
Eun Jung Lee
Analysis of olfactory function in patients with chronic rhinosinusitis and Staphylococcus aureus enterotoxin positivity
Scientific Reports
Smell (olfaction)
Nasal polyps
Rhinosinusitis
Staphylococcal enterotoxins
Sensitisation
title Analysis of olfactory function in patients with chronic rhinosinusitis and Staphylococcus aureus enterotoxin positivity
title_full Analysis of olfactory function in patients with chronic rhinosinusitis and Staphylococcus aureus enterotoxin positivity
title_fullStr Analysis of olfactory function in patients with chronic rhinosinusitis and Staphylococcus aureus enterotoxin positivity
title_full_unstemmed Analysis of olfactory function in patients with chronic rhinosinusitis and Staphylococcus aureus enterotoxin positivity
title_short Analysis of olfactory function in patients with chronic rhinosinusitis and Staphylococcus aureus enterotoxin positivity
title_sort analysis of olfactory function in patients with chronic rhinosinusitis and staphylococcus aureus enterotoxin positivity
topic Smell (olfaction)
Nasal polyps
Rhinosinusitis
Staphylococcal enterotoxins
Sensitisation
url https://doi.org/10.1038/s41598-024-77459-7
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