Endogenous panophthalmitis in a patient with COVID-19 during hospitalization in an intensive care unit: A case report

PURPOSE: To report a case of endogenous panophthalmitis in a patient with COVID-19 during treatment in an Intensive Care Unit. OBSERVATION: A 64‐year‐old woman with COVID-19 and Salmonella septicemia presented with decreased visual acuity, ocular pain, and proptosis in her right eye after treatment...

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Autores principales: Boontantrapiwat, Sinsucha, Rojanaporn, Duangnate, Chokthaweesak, Weerawan, Kitnarong, Naris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479422/
https://www.ncbi.nlm.nih.gov/pubmed/36128343
http://dx.doi.org/10.1016/j.ajoc.2022.101707
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author Boontantrapiwat, Sinsucha
Rojanaporn, Duangnate
Chokthaweesak, Weerawan
Kitnarong, Naris
author_facet Boontantrapiwat, Sinsucha
Rojanaporn, Duangnate
Chokthaweesak, Weerawan
Kitnarong, Naris
author_sort Boontantrapiwat, Sinsucha
collection PubMed
description PURPOSE: To report a case of endogenous panophthalmitis in a patient with COVID-19 during treatment in an Intensive Care Unit. OBSERVATION: A 64‐year‐old woman with COVID-19 and Salmonella septicemia presented with decreased visual acuity, ocular pain, and proptosis in her right eye after treatment with favipiravir, intravenous dexamethasone, and ceftriaxone. An ocular examination of her right eye revealed periorbital tenderness, exophthalmos, and corneal haze. The ultrasonography showed a subretinal abscess. Her right eye lost light perception vision and underwent enucleation. Microbiologic evaluation of the enucleated right eye was negative for organisms. CONCLUSIONS AND IMPORTANCE: Patents with COVID-19 may develop severe ocular involvement after COVID-19 due to a generalized reduction in immunity. Comorbidities and intensive care unit treatments can predispose COVID-19 patients to endogenous panophthalmitis.
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spelling pubmed-94794222022-09-16 Endogenous panophthalmitis in a patient with COVID-19 during hospitalization in an intensive care unit: A case report Boontantrapiwat, Sinsucha Rojanaporn, Duangnate Chokthaweesak, Weerawan Kitnarong, Naris Am J Ophthalmol Case Rep Case Report PURPOSE: To report a case of endogenous panophthalmitis in a patient with COVID-19 during treatment in an Intensive Care Unit. OBSERVATION: A 64‐year‐old woman with COVID-19 and Salmonella septicemia presented with decreased visual acuity, ocular pain, and proptosis in her right eye after treatment with favipiravir, intravenous dexamethasone, and ceftriaxone. An ocular examination of her right eye revealed periorbital tenderness, exophthalmos, and corneal haze. The ultrasonography showed a subretinal abscess. Her right eye lost light perception vision and underwent enucleation. Microbiologic evaluation of the enucleated right eye was negative for organisms. CONCLUSIONS AND IMPORTANCE: Patents with COVID-19 may develop severe ocular involvement after COVID-19 due to a generalized reduction in immunity. Comorbidities and intensive care unit treatments can predispose COVID-19 patients to endogenous panophthalmitis. Elsevier 2022-09-16 /pmc/articles/PMC9479422/ /pubmed/36128343 http://dx.doi.org/10.1016/j.ajoc.2022.101707 Text en © 2022 The Authors. Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Boontantrapiwat, Sinsucha
Rojanaporn, Duangnate
Chokthaweesak, Weerawan
Kitnarong, Naris
Endogenous panophthalmitis in a patient with COVID-19 during hospitalization in an intensive care unit: A case report
title Endogenous panophthalmitis in a patient with COVID-19 during hospitalization in an intensive care unit: A case report
title_full Endogenous panophthalmitis in a patient with COVID-19 during hospitalization in an intensive care unit: A case report
title_fullStr Endogenous panophthalmitis in a patient with COVID-19 during hospitalization in an intensive care unit: A case report
title_full_unstemmed Endogenous panophthalmitis in a patient with COVID-19 during hospitalization in an intensive care unit: A case report
title_short Endogenous panophthalmitis in a patient with COVID-19 during hospitalization in an intensive care unit: A case report
title_sort endogenous panophthalmitis in a patient with covid-19 during hospitalization in an intensive care unit: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479422/
https://www.ncbi.nlm.nih.gov/pubmed/36128343
http://dx.doi.org/10.1016/j.ajoc.2022.101707
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