PMC:7274940 / 6163-9981 JSONTXT

{"target":"http://pubannotation.org/docs/sourcedb/PMC/sourceid/7274940","sourcedb":"PMC","sourceid":"7274940","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7274940","text":"Results\nNinety-three patients with clinically confirmed COVID-19 were included in the study. Of the 93 patients, 54 (58.1%) were male and 39 (41.9%) were female. Mean age of the patients was 39.4 ± 21.9 (min 7, max 88) years. Ninety-two patients (98.9%) tested positive for SARS-CoV-2 by RT-PCR of nasopharyngeal swabs; while 1 (1.1%) was positive in the RT-PCR of the endotracheal aspirate. Twenty (21.5%) patients had fever, 18 (19.4%) patients had cough, 3 (3.2%) patients had respiratory distress, 2 (2.2%) patients had headache, and 50 (53.8%) patients had no symptoms at presentation to the hospital. Fifty-eight (62.4%) patients had no sign of abnormality at thorax CT, whereas 23 (24.7%) patients had typical CT findings of SARS CoV-2 pneumonia, and 12 (12.9%) patients had possible SARS CoV-2 pneumonia according to the CT findings. Five patients were intubated due to respiratory distress and 4 of them died due to SARS CoV-2 pneumonia and comorbidities.\nTable 1 represents age, fever, and the laboratory findings of the patients with and without ocular involvement. Mean neutrophil count, neutrophil to lymphocyte ratio, CRP, PCT, and ESR levels were significantly higher in patients with ocular involvement; whereas, mean lymphocyte count was significantly lower. No significant difference was observed between patients with and without ocular involvement regarding mean monocyte count, LDH, CK, and d-dimer levels.\nTable 1 Age, fever, and the laboratory findings of the patients with and without ocular involvement\nPatients with ocular involvement (n = 20) Patients without ocular involvement (n = 73) P value\nAge (years) 60.7 ± 19.8 33.6 ± 18.6 \u003c0.001*\nFever over 37.3 °C (n) 12 (60.0%) 8 (11.0%) 0.006*\nNeutrophil (/mm3) 6453.0 ± 4856.7 3662.2 ± 2132.3 0.001*\nLymphocyte (/mm3) 1368.0 ± 680.2 2246.5 ± 1173.3 0.001*\nNeutrophil/lymphocyte ratio 7.5 ± 11.5 2.3 ± 2.8 \u003c0.001*\nMonocyte (/mm3) 471.5 ± 194.4 480.8 ± 207.5 0.918\nCRP (mg/L) 55.4 ± 48.6 6.1 ± 8.8 \u003c0.001*\nPCT (μg/L) 0.30 ± 0.47 0.08 ± 0.11 0.001*\nESR (mm/hr) 42.7 ± 20.6 15.1 ± 13.3 \u003c0.001*\nLDH (U/L) 308.6 ± 132.8 242.1 ± 97.6 0.094\nCK (U/L) 109.7 ± 105.9 110.1 ± 97.9 0.389\nd-dimer (μg/L) 1314.2 ± 611.3 789.9 ± 658.4 0.492\nCRP C-reactive protein, PCT pro-calcitonin, ESR erythrocyte sedimentation rate, LDH lactate dehydrogenase, CK creatine kinase\n*Statistically significant\nTable 2 represents ocular findings and symptoms of the patients. Hyperemia was found to be associated with high fever (p = 0.006), typical radiological findings of SARS CoV-2 pneumonia (p = 0.046), high ESR and CRP (p \u003c 0.001 for all), PCT levels (p = 0.001) and neutrophil to lymphocyte ratio (NTL) (p \u003c 0.001). Epiphora and increased secretion were found to be associated with high fever (p = 0.012, p = 0.006, respectively), high ESR (p = 0.001, p = 0.023, respectively), CRP (p \u003c 0.001, p = 0.001 respectively), PCT (p = 0.002, p = 0.004 respectively), and NTL (p = 0.001, p \u003c 0.001 respectively). Chemosis was positively correlated with high CRP (p = 0.017), PCT (p = 0.39), and NTL (p = 0.008). Follicular conjunctivitis was also correlated with high fever (p = 0.037), high neutrophil count (p \u003c 0.001), ESR (p = 0.001), and CRP (p \u003c 0.001), PCT (p = 0.001) and high NTL (p = 0.001). Episcleritis was found to be associated with higher d-dimer (p = 0.017), PCT (p = 0.045), and CRP (p = 0.020). No ocular finding was associated with gender, LDH or CK levels, and monocyte count (p \u003e 0.05 for all).\nTable 2 Ocular manifestations of the patients\nValue (n)\nOcular findings\n Hyperemia 20 (21.5%)\n Epiphora 9 (9.7%)\n Increased secretion 6 (6.5%)\n Chemosis 3 (3.2%)\n Follicular conjunctivitis 8 (8.6%)\n Episcleritis 2 (2.2%)\nOcular symptoms\n Photophobia 15 (16.1%)\n Itchiness 13 (15.7%)\n Burning sensation 7 (8.4%)\n Gritty feeling 5 (6.0%)\n Blurred vision 4 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