28-year-old with COVID-19 suffers vision loss following fungal infection
A patient presented to hospital with swelling and vision loss in his right eye as a result of a severe fungal infection
BMJ Case Reports authors have described their treatment of a patient who presented to hospital with swelling and vision loss in his right eye.
The 28-year-old described to medical staff a history of coughing and fever.
An examination revealed a proptosis of the right eye with conjunctival congestion and swollen upper and lower eyelids.
Further testing revealed a COVID-19 infection, while a chest radiograph confirmed the patient had COVID-19 pneumonia.
An orbital biopsy suggested a diagnosis of the opportunistic fungal infection, mucormycosis. Clinicians ruled out immune deficiency syndromes, including HIV.
The patient was treated with broad-spectrum antibiotics to treat a probable COVID-19 pneumonia infection and an anti-fungal agent for the treatment of rhino-orbital mucormycosis.
Clinicians performed surgery to remove the contents of the right orbit and infected tissue from the sinus.
He was disease-free at a follow up two months after his recovery from COVID-19.