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Ophthalmia neonatorum as the presenting sign of SARS-CoV-2.
Mechel, Elzbieta; Trinh, Minh; Kodsi, Sylvia; Hymowitz, Maggie; Kainth, Mundeep K; Lee, Alice M.
  • Mechel E; Department of Ophthalmology, Northwell Health, Great Neck, New York.
  • Trinh M; Department of Ophthalmology, Northwell Health, Great Neck, New York.
  • Kodsi S; Department of Ophthalmology, Northwell Health, Great Neck, New York; Department of Pediatrics, Cohen Children's Medical Center, Northwell Health, Queens, New York; Donald and Barbara Zucker School of Medicine at Hofstra, Northwell Health, Hempstead, New York. Electronic address: sylviakodsi@gmail.co
  • Hymowitz M; Department of Ophthalmology, Northwell Health, Great Neck, New York; Donald and Barbara Zucker School of Medicine at Hofstra, Northwell Health, Hempstead, New York.
  • Kainth MK; Department of Pediatrics, Cohen Children's Medical Center, Northwell Health, Queens, New York; Donald and Barbara Zucker School of Medicine at Hofstra, Northwell Health, Hempstead, New York; Institute of Molecular Medicine, Feinstein Institute for Medical Research, Northwell Health, Manhasset, New Y
  • Lee AM; Department of Pediatrics, Cohen Children's Medical Center, Northwell Health, Queens, New York; Donald and Barbara Zucker School of Medicine at Hofstra, Northwell Health, Hempstead, New York.
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.
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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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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