ABSTRACT
A man in mid-50s presented with progressive blurred vision in his left eye for over 6 weeks. He was a known diabetic with history of COVID-19 pneumonia treated with steroids and remdesivir. He had pyelonephritis and urinary culture grown Klebsiella He was referred as a case of non-resolving vitreous haemorrhage. Visual acuity (VA) was hand movements with fundus showing dense vitritis. He underwent pars plana vitrectomy, vitreous biopsy with intraocular antibiotics (imipenem) suspecting as a case of endogenous bacterial endophthalmitis. Vitreous biopsy did not yield organisms on the smear/culture. The patient's condition worsened with perception of light and fundus showing dense vitritis with discrete yellowish white deposits on the surface of the retina. A repeat vitreous biopsy done along with intravitreal injection of voriconazole (suspecting fungal aetiology) grown fungal colonies and the organism was identified as Cryptococcus laurentii At 4-month follow-up, the VA improved to 6/24.
Subject(s)
Basidiomycota , COVID-19 , Endophthalmitis , Eye Infections, Bacterial , Anti-Bacterial Agents/therapeutic use , COVID-19/complications , Endophthalmitis/diagnosis , Endophthalmitis/drug therapy , Endophthalmitis/etiology , Eye Infections, Bacterial/microbiology , Humans , Male , Retrospective Studies , Vitrectomy/adverse effectsABSTRACT
Aim: The aim of this study was to evaluate the knowledge attitudes and practice (KAP) of dental patients towards COVID-19 during the pandemic. Materials and Methods: A structured questionnaire containing 12 questions was used, and each question had 2 or 3 possible answers. The patients aged 18 and above years who visited the dental department of our hospital were eligible to participate in this study. A total of 260 patients were participated to fill a questionnaire. Results: 79.1% of patients pay attention to covid 19 and are aware of the global pandemic and its impact. 86% of the selected population prefers to consult a doctor over a phone call rather than opting for self-medication. Therefore 82.2% of the subjects favored teledentistry as an ideal option of communication or prescription of medication. Unfortunately, 56.2% of the selected subjects were unaware and unequipped with key details and extensive knowledge of COVID-19 and preventive protective measures to control its spread. Significant results (p-value- .043) were well aware and attentive subjects have a positive attitude towards dental treatment during the COVID-19. Conclusion: The results of this study conducted indicated that the dental patients who had filled the questionnaire had acceptable knowledge of coronavirus and COVID-19.
ABSTRACT
Coronavirus disease or more popularly called COVID-19 is known to be caused by a novel coronavirus 2. The COVID-19 has been identified to be originated from Wuhan, Hubei, China. This pandemic started in December 2019, and since then it has spread across the world within a short period. The health and family welfare ministry of the Government of India reported 227,546 active, 9,997,272 discharged cases, and 150,114 deaths due to COVID-19 as of 06 January 2021. Indian Council of Medical Research (ICMR) reports that the cumulative testing status of SARS-CoV-2 (COVID-19) was 931,408 up to November 03, 2020. Currently, no specific anti-viral drug for COVID-19 management is recommended in the current scenario. Vulnerable populations such as pregnant women affected by COVID-19 infection need to be recognized and followed up for effective handling concerning morbidity and mortality. At present, very few case reports on COVID-19 infected pregnant women have been published in India and there is no proven exclusive treatment protocol. This article summarizes a review of signs and symptoms, etiopathogenesis, risk factors, diagnosis, and possible management of COVID-19 infection in pregnant women. This overview may be useful for health care providers for practical approach and limitation of drugs used in the current management and considers the choice of drugs with their special attention given to adverse effects to improvise maternal health, pregnancy, and birth outcomes.