Case Report: A Re-Positive Case of SARS-CoV-2 Associated With Glaucoma

病例报告:一例与青光眼相关的 SARS-CoV-2 复阳病例

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作者:Xiaoli Zhou, Ya-Na Zhou, Ashaq Ali, Cuiqin Liang, Zhiqin Ye, Xiaomin Chen, Qing Zhang, Lihua Deng, Xinyi Sun, Qian Zhang, Jihong Luo, Wei Li, Kun Zhou, Shanshan Cao, Xiaowei Zhang, Xiao-Dong Li, Xian-En Zhang, Zongqiang Cui, Dong Men

Abstract

The current pandemic of coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has already become a global threat to the human population. Infection with SARS-CoV-2 leads to a wide spectrum of clinical manifestations. Ocular abnormalities have been reported in association with COVID-19, but the nature of the impairments was not specified. Here, we report a case of a female patient diagnosed with glaucoma on re-hospitalization for ocular complications two months after being discharged from the hospital upon recovery from COVID-19. Meanwhile, the patient was found re-positive for SARS-CoV-2 in the upper respiratory tract. The infection was also diagnosed in the aqueous humor through immunostaining with antibodies against the N protein and S protein of SARS-CoV-2. Considering the eye is an immune-privileged site, we speculate that SARS-CoV-2 survived in the eye and resulted in the patient testing re-positive for SARS-CoV-2.

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