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

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

2020American Journal of Ophthalmology Case Reports23 citationsDOIOpen Access PDF

Abstract

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.

Topics & Concepts

MedicineCoronavirus disease 2019 (COVID-19)Kawasaki disease2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)PandemicVasculitisDermatologyPathologySurgeryOutbreakDiseaseInfectious disease (medical specialty)ArteryKawasaki Disease and Coronary ComplicationsRetinal and Optic ConditionsLymphadenopathy Diagnosis and Analysis
An adult with COVID-19 kawasaki-like syndrome and ocular manifestations | Litcius