ENDOGENOUS ENDOPHTHALMITIS IN THE SETTING OF COVID-19 INFECTION: A Case Series.
Retina
; 41(8): 1709-1714, 2021 08 01.
Article
in English
| MEDLINE | ID: covidwho-1503647
ABSTRACT
PURPOSE:
To describe endogenous endophthalmitis in the setting of COVID-19 pneumonia.METHODS:
Patients recovering from COVID-19 pneumonia who presented to our department with any or all of the following complaints pain, watering, redness, and decreased vision were identified. All relevant data were collected for analysis.RESULTS:
Three patients with endogenous endophthalmitis were identified. All patients had been treated for COVID-19 pneumonia and therefore had received remdesivir and systemic steroids; 2 of the 3 patients received tocilizumab. All patients received vitreous biopsy, vitrectomy, and intraocular antibiotic injection. Patient 1 demonstrated Klebsiella pneumoniae in blood culture, K. pneumoniae and Escherichia coli in urine culture, and K. pneumoniae in vitreous fluid, whereas Patients 2 and 3 demonstrated Stenotrophomonas maltophilia and methicillin-resistant Staphylococcus aureus in the blood and nasopharyngeal culture, respectively. Correspondingly, the same organism was cultured from vitreous in Patients 2 and 3. The visual acuity at the last follow-up in Patients 1 to 3 was 20/100, 20/80, and 20/40, respectively. The probable source of infection was identified in each as renal calculi, dental caries, and the pharynx, respectively. Real-time polymerase chain reaction demonstrated the presence of Severe Acute Respiratory Syndrome Coronavirus 2 in the vitreous fluid of Patient 1.CONCLUSION:
We report good outcomes of early intervention for endogenous endophthalmitis in the setting of COVID-19 infection. We also document the presence of SARS-CoV-2 in vitreous.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Eye Infections, Bacterial
/
Endophthalmitis
/
Stenotrophomonas maltophilia
/
Methicillin-Resistant Staphylococcus aureus
/
SARS-CoV-2
/
COVID-19
/
Klebsiella pneumoniae
Type of study:
Case report
/
Cohort study
/
Diagnostic study
/
Prognostic study
Topics:
Long Covid
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Retina
Year:
2021
Document Type:
Article
Affiliation country:
Iae.0000000000003168
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