A clinical case of metastatic ophthalmia against the background of a severe course of new coronavirus infection

Abstract

The article presents a clinical case of severe bilateral metastatic ophthalmia caused by a bacterial infection against the background of a new coronavirus infection. In a female patient with a new coronavirus infection and viral pneumonia against the background of a septic condition signs of a liver abscess were revealed and a clinic of bilateral endogenous endophthalmitis developed. Despite intensive antibacterial therapy, the clinic of panophthalmitis of the left eye developed, the left eye was eviscerated. The same pathogen Klebsiellae pneumonia was isolated in vitreous body culture of the removed eye, conjunctiva smear and pus exudate from liver abscess. Bilateral metastatic ophthalmia was caused by the presence of an infectious focus in the body (liver abscess) on the background of weakened immunity due to severe septic condition of the patient. In turn, coronary viral infection led to severe respiratory tract damage and development of secondary immunodeficiency. The low effectiveness of intensive antibiotic therapy is associated with this. The rare case of bilateral metastatic ophthalmia described by us is of interest for ophthalmologists in terms of the possibility of such a serious complication caused by the bacterium Klebsiellae pneumonia, combined with liver abscess. At as-association of this pathology with severe coronavirus infection complicates the course, therapy and prognosis of this disease.