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The severe acute respiratory syndrome. The guideline on diagnosis and treatment of the novel coronavirus pneumonia NCP : revised version of the 5th edition.
Accessed February 8, The severe acute respiratory syndrome coronavirus in tears. Published online February 18, Risk factors for SARS transmission from patients requiring intubation: a multicentre investigation in Toronto, Canada.
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Nathan David Blech Public. This study has been cited as supporting the conclusion that conjunctivitis is associated with more serious COVID illness.
Might such a reading be missing important nuance? Could, even, the opposite be true when the conjunctivitis appears before respiratory symptoms?
Take note that this case series was of hospitalized patients. Additionally, in this paper we read: "Of note, we found only 1 patient presenting with conjunctivitis as the first symptom.
In the course of my own presumed COVID infection, conjunctivitis appeared as an early symptom before any respiratory symptoms.
Aching, especially in the neck, was the first symptom I noticed. Onset of conjunctivitis followed and lasted several days, while an intermittent dry cough appeared last and lingered for a couple of weeks.
Fortunately, no serious symptoms developed. Onset of conjunctivitis before respiratory symptoms may point to having contracted the virus via the eye.
Might that route of infection be one of the factors influencing a better prognosis? Might that route allow the patient's body to marshal defenses before the virus enters the very vulnerable respiratory system?
Might such a hypothesis explain, in part, a puzzling phenomenon? Those who developed very serious and even fatal illness have included, albeit as a minority, some formerly healthy people in the prime of their lives.
And those who only developed mild symptoms have included individuals with one or more risk factors. Might the route of infection account for some of those outcomes?
Might vaccine administration via eye drops prove helpful in COVID and possibly in other respiratory illnesses?
If robust data were to clearly confirm the above hypothesis, might we even consider resorting to deliberate inoculation with live virus via an eye drop until a vaccine is developed?
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