American Journal of Ophthalmology Case Reports (Dec 2020)

An adult with COVID-19 kawasaki-like syndrome and ocular manifestations

  • Alcina K. Lidder,
  • Saagar A. Pandit,
  • Douglas R. Lazzaro

Journal volume & issue
Vol. 20
p. 100875

Abstract

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Purpose: 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. Observations: 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. Conclusions and Importance: To our knowledge, this report may be the first case of a Kawasaki-like syndrome in an adult with COVID-19 infection.

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