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Conjunctivitis as sole symptom of COVID-19: A case report and review of literature.
Eur J Ophthalmol. 2020 Jul 24 [Online ahead of print]EJ

Abstract

INTRODUCTION

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel virus causing an ongoing pandemic in 2020. Although the symptomatic patients infected by SARS-CoV-2 generally show respiratory distress, atypical manifestations such as conjunctivitis are also observed. A series of cases are reported in which reverse transcriptase polymerase chain reaction (RT-PCR) testing on tears had demonstrated the presence of the virus. However, the transmission of the virus through ocular fluids remains unknown.

CASE DESCRIPTION

In this case report, the development of conjunctivitis is presented as the sole symptom of a new coronavirus disease 2019 (COVID-19) in an emergency health care worker. The patient's first application was to the ophthalmology clinic due to redness, stinging, tearing, and photophobia for one day in the right eye. The patient had no symptoms of fever, cough, shortness of breath, or fatigue. Two days later, the RT-PCR test, blood analysis, and chest computed tomography (CT) were applied to the patient for being in contact with a COVID positive patient. Conjunctival swabs did not identify SARS-CoV-2 by RT-PCR. However, nasopharyngeal swab and blood test confirmed the diagnosis of COVID-19. Chest CT did not show pneumonia.

CONCLUSION

This phenomenon shows that conjunctivitis may occur as a sole manifestation of COVID-19 which needs to be carefully evaluated by health care workers and eye care professionals during the pandemic.

Authors+Show Affiliations

Department of Ophthalmology, Baskent University Istanbul Hospital, Istanbul, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32703010

Citation

Ozturker, Zeynep Kayaarasi. "Conjunctivitis as Sole Symptom of COVID-19: a Case Report and Review of Literature." European Journal of Ophthalmology, 2020, p. 1120672120946287.
Ozturker ZK. Conjunctivitis as sole symptom of COVID-19: A case report and review of literature. Eur J Ophthalmol. 2020.
Ozturker, Z. K. (2020). Conjunctivitis as sole symptom of COVID-19: A case report and review of literature. European Journal of Ophthalmology, 1120672120946287. https://doi.org/10.1177/1120672120946287
Ozturker ZK. Conjunctivitis as Sole Symptom of COVID-19: a Case Report and Review of Literature. Eur J Ophthalmol. 2020 Jul 24;1120672120946287. PubMed PMID: 32703010.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Conjunctivitis as sole symptom of COVID-19: A case report and review of literature. A1 - Ozturker,Zeynep Kayaarasi, Y1 - 2020/07/24/ PY - 2020/7/25/pubmed PY - 2020/7/25/medline PY - 2020/7/25/entrez KW - COVID-19 KW - Conjunctivitis KW - SARS-CoV-2 KW - novel coronavirus KW - ocular infection SP - 1120672120946287 EP - 1120672120946287 JF - European journal of ophthalmology JO - Eur J Ophthalmol N2 - INTRODUCTION: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel virus causing an ongoing pandemic in 2020. Although the symptomatic patients infected by SARS-CoV-2 generally show respiratory distress, atypical manifestations such as conjunctivitis are also observed. A series of cases are reported in which reverse transcriptase polymerase chain reaction (RT-PCR) testing on tears had demonstrated the presence of the virus. However, the transmission of the virus through ocular fluids remains unknown. CASE DESCRIPTION: In this case report, the development of conjunctivitis is presented as the sole symptom of a new coronavirus disease 2019 (COVID-19) in an emergency health care worker. The patient's first application was to the ophthalmology clinic due to redness, stinging, tearing, and photophobia for one day in the right eye. The patient had no symptoms of fever, cough, shortness of breath, or fatigue. Two days later, the RT-PCR test, blood analysis, and chest computed tomography (CT) were applied to the patient for being in contact with a COVID positive patient. Conjunctival swabs did not identify SARS-CoV-2 by RT-PCR. However, nasopharyngeal swab and blood test confirmed the diagnosis of COVID-19. Chest CT did not show pneumonia. CONCLUSION: This phenomenon shows that conjunctivitis may occur as a sole manifestation of COVID-19 which needs to be carefully evaluated by health care workers and eye care professionals during the pandemic. SN - 1724-6016 UR - https://www.unboundmedicine.com/medline/citation/32703010/Conjunctivitis_as_sole_symptom_of_COVID_19:_A_case_report_and_review_of_literature_ L2 - https://journals.sagepub.com/doi/10.1177/1120672120946287?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -
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