tetano
Editor, Senior Moderator
Can J Ophthalmol. 2020 Apr 2. pii: S0008-4182(20)30305-7. doi: 10.1016/j.jcjo.2020.03.003. [Epub ahead of print]
Keratoconjunctivitis as the initial medical presentation of the novel coronavirus disease 2019 (COVID-19).
Cheema M[SUP]1[/SUP], Aghazadeh H[SUP]1[/SUP], Nazarali S[SUP]1[/SUP], Ting A[SUP]1[/SUP], Hodges J[SUP]1[/SUP], McFarlane A[SUP]2[/SUP], Kanji JN[SUP]3[/SUP], Zelyas N[SUP]4[/SUP], Damji KF[SUP]1[/SUP], Solarte C[SUP]5[/SUP].
Author information
Abstract
We present a case of coronavirus disease 2019 (COVID-19) with an initial medical presentation of keratoconjunctivitis, the first such reported case in North America. The patient's primary symptom was a red eye with watery discharge, though she did have mild respiratory symptoms, without fever. She was diagnosed with keratoconjunctivitis; evolving corneal findings were characterized through repeat visits to ophthalmology. A conjunctival swab of the affected eye was positive for the SAR-CoV-2 virus. This case emphasizes the importance of ensuring that first-line health care providers, including ophthalmologists, optometrists, emergency physicians, and family physicians, consider COVID-19 on the differential for any patient with recent travel who presents with acute conjunctivitis. Having a high index of suspicion with this presentation would allow for appropriate precautions to be taken to prevent further spread of COVID-19.
Copyright ? 2020 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
PMID:32284146DOI:10.1016/j.jcjo.2020.03.003
Keratoconjunctivitis as the initial medical presentation of the novel coronavirus disease 2019 (COVID-19).
Cheema M[SUP]1[/SUP], Aghazadeh H[SUP]1[/SUP], Nazarali S[SUP]1[/SUP], Ting A[SUP]1[/SUP], Hodges J[SUP]1[/SUP], McFarlane A[SUP]2[/SUP], Kanji JN[SUP]3[/SUP], Zelyas N[SUP]4[/SUP], Damji KF[SUP]1[/SUP], Solarte C[SUP]5[/SUP].
Author information
Abstract
We present a case of coronavirus disease 2019 (COVID-19) with an initial medical presentation of keratoconjunctivitis, the first such reported case in North America. The patient's primary symptom was a red eye with watery discharge, though she did have mild respiratory symptoms, without fever. She was diagnosed with keratoconjunctivitis; evolving corneal findings were characterized through repeat visits to ophthalmology. A conjunctival swab of the affected eye was positive for the SAR-CoV-2 virus. This case emphasizes the importance of ensuring that first-line health care providers, including ophthalmologists, optometrists, emergency physicians, and family physicians, consider COVID-19 on the differential for any patient with recent travel who presents with acute conjunctivitis. Having a high index of suspicion with this presentation would allow for appropriate precautions to be taken to prevent further spread of COVID-19.
Copyright ? 2020 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
PMID:32284146DOI:10.1016/j.jcjo.2020.03.003