Conjugate deviation of downgaze in the toxic shock syndrome

Dick, D J; Harvey, R. Donald; Hudson, S.J.; Walls, Timothy J.

doi:10.1136/pgmj.61.721.995

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2020

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“… 20 Albeit less commonly, there have been rare reports of additional ocular consequences of TSS, including optic neuropathy, necrotizing anterior scleritis, and keratitis in streptococcal TSS, and vertical gaze palsy in the setting of staphylococcal TSS. 21 , 22 …”

Section: Discussionmentioning

confidence: 99%

Novel case of an adult with toxic shock syndrome following COVID-19 infection

Feng¹,

Armenti²,

Albin³

2020

American Journal of Ophthalmology Case Reports

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Purpose To report a case of an adult who developed toxic shock syndrome following COVID-19 infection. Observations A 28-year-old female tested positive for COVID-19. 19 days later, she developed a fever, rash and a burning sensation in both eyes. Her examination revealed mild ocular inflammation with bilateral eyelid and conjunctival involvement. Skin biopsy favored a diagnosis of toxic shock syndrome. She was initiated on corticosteroid eye drops and her ocular symptoms resolved three days later. Conclusion and importance Toxic shock syndrome is almost always associated with conjunctival inflammation. To our knowledge, this is the first report of an adult patient with toxic shock syndrome following COVID-19 infection. The association between toxic shock syndrome and COVID-19 is unclear; however, patients should be vigilant for symptoms as toxic shock syndrome can progress rapidly and cause multi-organ failure.

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Section: Discussionmentioning

confidence: 99%