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Published on: November 5, 2021
Haemorrhagic conjunctivitis with pseudomembranous related to SARS-CoV-2
Valentin Navel1, Frédéric Chiambaretta1, Frédéric Dutheil2
1Université Clermont Auvergne, CNRS, INSERM, GReD, Translational Approach to Epithelial Injury and Repair, CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Ophthalmology, F-63000, Clermont-Ferrand, France.
Purpose:
To describe the multiplicity of ocular manifestations of COVID-19 patients, we report a case of pseudomembranous and hemorrhagic conjunctivitis related with SARS-CoV-2 pneumonia in a patient of intensive care unit (ICU).
Observations:
A 63-year-old male was admitted in intensive care unit (ICU), seven days after the beginning of an influenza-like symptoms, to manage an acute respiratory syndrome related with SARS-CoV-2. Chest scan showed interstitial pneumonia with "crazy paving" patterns. At day 19, ocular examination at the patient's bed described petechias and tarsal hemorrhages, mucous filaments and tarsal pseudomembranous. Conjunctival scrapings and swabs did not identify any bacteria or virus. To our knowledge, we described the first case of pseudomembranous conjunctivitis in a COVID-19 patient.
Conclusion And Importance:
Considering that SARS-CoV-2 is present in tears and conjunctival secretions, external ocular infections could be factors of infectious spreading. Physicians should be aware of late (>2 weeks) ocular complications in COVID-19 patients to prevent sequelae.
Insights
This case report details pseudomembranous and hemorrhagic conjunctivitis in a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia patient. Ocular complications in COVID-19 patients can occur late and may contribute to infectious spread.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Critical Care Medicine
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can cause a wide range of clinical manifestations.
- Ocular involvement in COVID-19 patients is increasingly recognized.
- Conjunctivitis is a known, though less common, ocular symptom associated with SARS-CoV-2.
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