Lidder Alcina K, Pandit Saagar A, Lazzaro Douglas R
NYU Langone Health Department of Ophthalmology, USA.
Am J Ophthalmol Case Rep. 2020 Dec;20:100875. doi: 10.1016/j.ajoc.2020.100875. Epub 2020 Aug 19.
The severe acute respiratory syndrome coronavirus-2 and its associated infection known as COVID-19 have resulted in a global pandemic. Ocular manifestations of COVID-19 are nonspecific and include hyperemia, chemosis, epiphora, secretions, and eyelid edema. There is a paucity in the literature regarding COVID-19 related inflammatory syndromes which may also include ocular manifestations.
In pediatric patients, conjunctivitis has been recently reported in association with a multisystem inflammatory condition related to COVID-19 that shares features with Kawasaki disease and toxic shock syndrome. We describe the clinical course of an adult patient with symptoms and signs consistent with a Kawasaki-like syndrome.
To our knowledge, this report may be the first case of a Kawasaki-like syndrome in an adult with COVID-19 infection.
严重急性呼吸综合征冠状病毒2及其相关感染即2019冠状病毒病已导致全球大流行。2019冠状病毒病的眼部表现不具有特异性,包括充血、结膜水肿、流泪、分泌物增多和眼睑水肿。关于2019冠状病毒病相关炎症综合征(其中可能也包括眼部表现)的文献较少。
最近有报道称,在儿科患者中,结膜炎与一种与2019冠状病毒病相关的多系统炎症性疾病有关,该疾病具有川崎病和中毒性休克综合征的特征。我们描述了一名成年患者的临床病程,其症状和体征与川崎样综合征一致。
据我们所知,本报告可能是首例成年2019冠状病毒病感染患者出现川崎样综合征的病例。