Ophthalmia neonatorum as the presenting sign of SARS-CoV-2.
J AAPOS
; 25(4): 230-231, 2021 08.
Article
in English
| MEDLINE | ID: covidwho-1486297
ABSTRACT
The most common ocular manifestation of SARS-CoV-2 in adults and children is acute conjunctivitis. We report the case of a 4-day-old infant who presented with acute-onset mucopurulent discharge of the left eye as well as subconjunctival hemorrhage and palpebral injection, without corneal findings. A diagnosis of ophthalmia neonatorum was established, for which ocular cultures and Gram staining were performed. No bacterial growth was noted, and polymerase chain reaction (PCR) testing for Chlamydia trachomatis, Neisseria gonorrhea, and herpes simplex were negative. Nasopharyngeal and conjunctival SARS-CoV-2 PCR were positive. Given the identification of SARS-CoV-2 illness, lack of other underlying bacterial or viral etiology on testing, and the well-documented ability for SARS-CoV-2 to cause conjunctivitis, the clinical picture was supportive of ophthalmia neonatorum secondary to SARS-CoV-2. The infant was treated with ceftriaxone and azithromycin prior to culture results. During admission, no systemic findings of Covid-19 illness were observed.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Gonorrhea
/
Ophthalmia Neonatorum
/
Conjunctivitis
/
COVID-19
Type of study:
Case report
/
Diagnostic study
/
Etiology study
/
Prognostic study
Limits:
Adult
/
Child
/
Humans
/
Infant
/
Infant, Newborn
Language:
English
Journal:
J AAPOS
Journal subject:
Ophthalmology
/
Pediatrics
Year:
2021
Document Type:
Article
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