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Abstract
La conjonctivite aigue est une manifestation de l’infection à Coronavirus SARS-CoV-2. Elle peut être discrète, surtout si elle est unilatérale ou asymétrique. Sa bilatéralité et la diffusion de l’hyperhémie sont susceptibles d’inquiéter le malade et l’amener à consulter. C’est le cas de ce patient de 37 ans, de sexe masculin, reçu pour rougeur oculaire bilatérale dont l’examen clinique avait retrouvé une hyperhémie conjonctivale bilatérale diffuse et une température à 39°C. L’examen virologique de PCR a confirmé le diagnostic d’une infection au nouveau coronavirus. Ce cas pose un problème diagnostique pour le malade et de prévention pour le personnel soignant.
ABSTRACT
Acute conjunctivitis is a possible manifestation during SARS-CoV-2 infection. It can be discrete, especially if it is unilateral or asymmetrical. Bilateral acute conjunctivitis especially with the spread of hyperemia is likely to worry the patient and therefore prompt him to consult. We report the case of a 37-year-old male patient, who consulted for bilateral ocular redness of acute onset. Clinical examination found diffuse bilateral conjunctival hyperemia and a temperature at 39°C. The SARS-CoV-2 PCR test was positive. This case of coronavirus infection illustrates a diagnostic issue for the patient and a prevention issue for the healthcare providers.
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References
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References
Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497-506.
«(COVID-19) Le nombre de cas d'infection au coronavirus dépasse les 100 au Cameroun » [archive], sur french.xinhuanet.com (consulté le 20 Mai 2020).
Nko’o AS, Mbole J, Mbo AJ et al. Le Coronavirus (COVID-19) : Mise au Point pour les Personnels de Santé en Afrique. Health Sci. Dis 2020;21(5):1-6.
Xia J, Tong J, Liu M, Shen Y, Guo D. Evaluation of coronavirus in tears and conjunctival secretions of patients with SARS-CoV-2 infection. Journal of medical virology. 2020.
Cheema M, Aghazadeh H, Naza S, et al. Keratoconjunctivitis as the initial medical presentation of the novel coronavirus disease 2019 (COVID-19). Can J Ophthalmol. 2020.
Guan WJ, Ni ZY, Hu Y et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020.
American Academy of Ophthalmology. Alert: important coronavirus updates for ophthalmologists. www.aao.org/headline/alert-important-coronavirus-context (consulté le 20 Mai 2020).
Li JO, Lam DSC, Chen Y, Ting DSW. Novel Coronavirus disease 2019 (COVID- 19): The importance of recognising possible early ocular manifestation and using protective eyewear. The British journal of ophthalmology. 2020;104(3):297-298.
Yu Jun IS, Anderson DE, Zheng Kang AE et al. Assessing Viral Shedding and Infectivity of Tears in Coronavirus Disease 2019 (COVID-19) Patients. Ophthalmology. 2020.
Chen L, Deng C, Chen X, Zhang X, Chen B, Yu H et al. Ocular manifestations and clinical characteristics of 534 cases of COVID-19 in China: a cross-sectional study. MedRxiv. https://doi.org/10.1101/2020.03.12.20034678
Wu P, Duan F, Luo C, et al. Characteristics of Ocular Findings of Patients With Coronavirus Disease 2019 (COVID-19) in Hubei Province, China. JAMA ophthalmology. 2020.
Scalinci SZ, Trovato Battagliola E. Conjunctivitis can be the only presenting sign and symptom of COVID-19, IDCases (2020), : https://doi.org/10.1016/j.idcr.2020.e00774
Daruich A, et al. Unilateral conjunctivitis as first presentation of Coronavirus Disease 2019 (COVID-19): A telemedicine diagnosis. J Fr Ophtalmol (2020), https://doi.org/10.1016/j.jfo.2020.04.001
Hu K, Patel J, Patel BC: Ophthalmic Manifestations of Coronavirus (COVID-19). In: StatPearls. edn. Treasure Island (FL); 2020.
Lai THT, Tang EWH, Chau SKY, Fung KSC, Li KKW. Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong [published online ahead of print, 2020 Mar 3]. Graefes Arch Clin Exp Ophthalmol. 2020;10.1007/s00417-020-04641-8. doi:10.1007/s00417-020-04641-8