ENDOGENOUS ENDOPHTHALMITIS IN THE SETTING OF COVID-19 INFECTION: A Case Series.
Retina
; 41(8): 1709-1714, 2021 08 01.
Article
em En
| MEDLINE
| ID: mdl-33734193
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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Infecções Oculares Bacterianas
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Endoftalmite
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Stenotrophomonas maltophilia
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Staphylococcus aureus Resistente à Meticilina
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SARS-CoV-2
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COVID-19
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Klebsiella pneumoniae
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Retina
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Alemanha