scholarly journals Recurrent keratoconjunctivitis as the sole manifestation of COVID-19 infection: A case report

2021 ◽  
pp. 112067212110065
Author(s):  
Satria Audi Hutama ◽  
Firas Farisi Alkaff ◽  
Ryan Enast Intan ◽  
Citra Dewi Maharani ◽  
Luki Indriaswati ◽  
...  

Introduction: Ocular symptoms are uncommon manifestations of coronavirus disease 2019 (COVID-19) infection. Earlier study reported that dry eye, blurred vision, foreign body sensation, tearing, itching, conjunctival secretion, conjunctival congestion, ocular pain, and photophobia are among the ocular symptoms that could be found in COVID-19 patients. However, there are only a few reports available regarding corneal involvement in this disease. Here we report a case of keratoconjunctivitis as the only symptom of COVID-19 infection. Case description: A 27-year-old man who worked as an obstetrics and gynecology resident came to the outpatient clinic with the chief complaints of eye discomfort, foreign body sensation, conjunctival hyperemia, lacrimation, and photophobia in his right eye for the past 3 weeks. Fluorescence test showed a small corneal lesion. The patient was then diagnosed with keratoconjunctivitis. A week after the treatment, all symptoms were resolved. A month later, the patient came to the emergency room with the same eye complaints but with a more severe pain. The fluorescence test showed wider corneal lesion compared to last month. The result from the corneal swab is negative for bacterial or fungal infection, indicating a viral infection. Afterwards, reverse transcriptase polymerase chain reaction test from nasopharyngeal swab was performed and revealed that the patient was positive for COVID-19. Conclusions: This case report showed that keratoconjunctivitis may occur as the only manifestation of COVID-19 infection. Thus, patient presented with unexplainable eye symptoms should be evaluated for COVID-19 infection.

2020 ◽  
Vol 12 (2) ◽  
pp. 68-70
Author(s):  
Farzaneh Pakdel ◽  
Maryam Hossinpour Sarmadi ◽  
Salar Payahoo ◽  
Golchin Jabbari ◽  
Farshad Javadzadeh

Ossifying stylohyoid ligament can be seen accidently in panoramic images. Sometimes this status is asymptomatic. However, in the presence of symptoms such as pain in the pharynx, a foreign body sensation, tinnitus or otalgia it is called Eagle’s syndrome. The other symptoms due to the pressure on carotid artery including migraines, aphasia or vertigo and syncope especially in turning head to suffering side may be reported. This case was a thirty-nine-year-old man by thick ossified stylohyoid ligament in both sides along with five pseudoarticles together with a background of head and neckache specially in cold weather.


2018 ◽  
Vol 10 (01) ◽  
pp. 116-117 ◽  
Author(s):  
Sridhar Rao ◽  
Navya Radhakrishnasetty ◽  
Harithaapriyadarshini Chadalavada ◽  
Chandrashekarayya Hiremath

Abstract:External ophthalmomyiasis is an infestation of the eye with larvae of Dermatobia hominis or Oestrus ovis (sheep bot fly). We describe a case of ophthalmomyiasis in a 38-year-old male, who presented with ocular foreign body sensation, redness, pain, and watering of the eye. The causative larvae were removed and sent to the laboratory for identification. By studying morphological features, it was identified as the first instar larvae of O. ovis. The patient was put on topical and oral antibiotics but was lost to follow-up. This is probably the first report from this part of Karnataka.


Author(s):  
Kunzang Doma Bhutia ◽  
Anandabrata Bose ◽  
Anjon Debnath

Introduction:  Hypopharyngeal  lipomas  are  rare  tumors  of  head  and  neck  which  present  with  vague  symptoms  like  dysphagia,  foreign  body  sensation  in  throat,  feeling  of  something  coming  to  the  throat  or mouth,  choking  sensations  or  with  symptoms of  obstructive  sleep  apnea.  These   tumors  can  cause  upper  airway  obstruction  and  even  asphyxial   deaths  presenting  as  medical   emergency.  Case report:  We  report  one  such  case  of  a  38  year  old  female  with  hypopharyngeal  lipoma  who  had  presented  to  us  with symptoms  of  dysphagia,  choking  episodes  and  foreign  body  sensation  in  throat. Discussion:   Laryngoscopic  examination   in  these  cases  is  diagnostic  to  assess   its  size  and  site  of  attachment.  Imaging  studies  like  CT scan  or  MRI  help  in  diagnosis.


Author(s):  
Cristiana Valente ◽  
Agostino Salvatore Vaiano ◽  
Giacomo De Benedetti ◽  
Rosanna Perno ◽  
Gaudioso del Monte ◽  
...  

ABSTRACT Purpose To report a case of spontaneous (nontraumatic) rupture of the cornea 7 days after intrastromal ring segment surgery in a patient with pellucid marginal degeneration (PMD). Methods Case report. Results A 37-year-old African woman complains blurred vision, photophobia, foreign body sensation and redness in her left eye 7 days after an uneventful implantation of a Ferrara intrastromal corneal ring segment (ICRS) for PMD. Left eye examination revealed the rupture in the thinnest point of the cornea between the limbus and the implanted lower ICRS, and the iris prolapsed through the wound. Conclusion To the best of our knowledge, this case is the first documented spontaneous rupture of the thinnest point of the cornea in a patient with PMD treated successfully with the ICRS procedure. We examined the causes of this early and dramatic evolution and emphasize the importance of a careful follow-up. How to cite this article Vaiano AS, De Benedetti G, Perno R, del Monte G, Valente C, Caramello G. Spontaneous Corneal Rupture One Week after Intrastromal Ring Segment Surgery. Int J Kerat Ect Cor Dis 2013;2(1):43-46.


2018 ◽  
Vol 10 (1) ◽  
pp. 98-101
Author(s):  
Deepti Pradhan ◽  
Chandni Pradhan ◽  
Purushottam Joshi

Background: Several parasites are known to affect the eyes, some of them even causing blindness. Data on helminths infecting the eye are scant and mostly limited to case reports from different countries.Case: A 53 years old female presented with complaint of redness, foreign body sensation and diminution of vision in right eye since one month.Observations: On examination a live motile worm was found wriggling in the anterior chamber which was surgically removed. The microscopic findings were in favour of Dirofilaria. However, detailed histopathological examination and determination of species couldn’t be done.Conclusion: The occurrence of parasite in eye is an uncommon event. Most of these parasites are found in subconjunctival or subretinal regions. Those in anterior chamber is a very rare event. Recently Dirofilaria is being recognised as an emerging zoonosis.


1995 ◽  
Vol 29 (9) ◽  
pp. 872-874 ◽  
Author(s):  
Michael J Garvey ◽  
Paul G Ambrose ◽  
Jack L Ulmer

Objective: To report microsporidial keratoconjunctivitis in a patient infected with HIV who was treated with topical fumagillin. Case Summary: A 37-year-old white man who was experiencing redness, pain, irritation, decreased vision, and a foreign body sensation occurring in both eyes was referred to the ophthalmology clinic. The patient had a medical history significant for AIDS, Pneumocystis carinii pneumonia, and Cytomegalovirus retinitis. Conjunctival smears were taken and stained positive for the presence of Microsporidia. The patient was diagnosed with bilateral microsporidial keratoconjunctivitis and fumagillin therapy was initiated. After 5 days of therapy, the patient repotted significant improvements characterized by a decrease in blurred vision with only slight blurring in the left eye, decrease in headache, and decreased foreign body sensation. The patient continued topical fumagillin therapy for more than 14 months, with only slight blurring in the left eye and no apparent ocular toxicity as a result of fumagillin therapy. Discussion: Although rare in occurrence, increasing numbers of documented microsporidial infections are being reported in the medical literature, particularly in individuals who are seropositive for HIV. Clinicians need to be cognizant of microsporidial keratoconjunctivitis as another opportunistic infection in this patient population. Conclusions: Although a curative agent has yet to be discovered, fumagillin represents a safe, effective, low-cost, topical agent for the treatment of microsporidial keratoconjunctivitis.


2021 ◽  
pp. 014556132110565
Author(s):  
Dong Liu ◽  
Maocai Li ◽  
Lianqing Li ◽  
Lili Gong ◽  
Zuping Zhang

A pharyngeal recess cyst is a benign lesion, located at the nasopharyngeal recess with limited development. Pharyngeal recess cysts rarely occur. This case report describes a young male patient presenting with a foreign body sensation in the pharynx. Electronic nasopharyngoscope examination revealed a large nasopharyngeal cyst, whose root was located in the left pharyngeal recess. Complete surgical resection was performed, and the patient successfully recovered. Pharyngeal recess cysts are rare lesions that can be diagnosed based on imaging and endoscopy findings. It is treated surgically and has a favorable prognosis.


Author(s):  
Patricia Alves de Almeida ◽  
Fernanda Amélia Martins ◽  
Ana Paula Lazzaretti Marostega ◽  
Carlos Jose de Carvalho Pinto ◽  
Patrizia Ana Bricarello ◽  
...  

Mammomonogamus laryngeus (sin.: Syngamus laryngeus) is a nematode which parasites the respiratory tract of some animals. It is occasionally seen in humans, who present symptoms similar to other diseases with respiratory manifestations, such as a chronic dry cough and chest pain, in addition to a “foreign body” sensation in the throat. It can be diagnosed through rhinolaryngoscopy or bronchoscopy examinations, but this often occurs only after spontaneous expectoration of the worms, a long period of symptomatology and the use of several types of medication. In this report, we describe a case of syngamosis in Florianópolis (Santa Catarina, Brazil). The patient consulted several health professionals during the course of the disease and was prescribed numerous drugs. Diagnosis was eventually reached after the spontaneous expectoration of a nematode couple.


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