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Keratoconjunctivitis as the initial medical presentation of the novel coronavirus disease 2019 (COVID-19).


ABSTRACT: We present a case of coronavirus disease 2019 (COVID-19) with an initial medical presentation of keratoconjunctivitis, the first such reported case in North America. The patient's primary symptom was a red eye with watery discharge, though she did have mild respiratory symptoms, without fever. She was diagnosed with keratoconjunctivitis; evolving corneal findings were characterized through repeat visits to ophthalmology. A conjunctival swab of the affected eye was positive for the SAR-CoV-2 virus. This case emphasizes the importance of ensuring that first-line health care providers, including ophthalmologists, optometrists, emergency physicians, and family physicians, consider COVID-19 on the differential for any patient with recent travel who presents with acute conjunctivitis. Having a high index of suspicion with this presentation would allow for appropriate precautions to be taken to prevent further spread of COVID-19.

SUBMITTER: Cheema M 

PROVIDER: S-EPMC7124283 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Keratoconjunctivitis as the initial medical presentation of the novel coronavirus disease 2019 (COVID-19).

Cheema Marvi M   Aghazadeh Helya H   Nazarali Samir S   Ting Andrew A   Hodges Jennifer J   McFarlane Alexandra A   Kanji Jamil N JN   Zelyas Nathan N   Damji Karim F KF   Solarte Carlos C  

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie 20200402 4


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