Bilateral macular hemorrhage in a patient with COVID-19.
Am J Ophthalmol Case Rep
; 20: 100958, 2020 Dec.
Article
in English
| MEDLINE | ID: covidwho-843587
ABSTRACT
PURPOSE:
We report a case of a patient with a known hereditary spherocytosis who developed a bilateral macular hemorrhage in concurrence with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-related respiratory syndrome. OBSERVATIONS Blood tests showed severe hemolytic anemia. Interestingly, the peripheral blood smear demonstrated a mixed pathogenesis of the hemolytic process (cold-agglutinin-mediated and non-immune-mediated due to spherocytosis). CONCLUSIONS AND IMPORTANCE We argue that SARS-CoV-2 could have triggered the hemolytic process, which led to retinal hemorrhages due to endothelial anoxia from the low oxygen carrying capacity.
Full text:
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Collection:
International databases
Database:
MEDLINE
Type of study:
Case report
/
Observational study
/
Prognostic study
Language:
English
Journal:
Am J Ophthalmol Case Rep
Year:
2020
Document Type:
Article
Affiliation country:
J.ajoc.2020.100958
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