Gonococcal Keratoconjunctivitis in Adult
Journal of the Korean Ophthalmological Society
;
: 786-790, 2002.
Article
in Korean
| WPRIM
| ID: wpr-137896
ABSTRACT
PURPOSE:
Neisseria gonorrhea is usually identified in neonatal conjunctivitis, but rare in adult keratoconjunctivitis. We report a rare case of bilateral gonococcal conjunctivitis combined with keratitis.METHODS:
A 29-year-old male with a history of sexual contact with a prostitute 17 days ago referred to our hospital with acute keratoconjunctivitis. Ocular discharge was examined by Gram stain, culture, and sensitivity test to antibiotics, resulting in the identification of penicillin-resistant Neisseria gonorrhea.RESULTS:
This patient was treated with intramuscular ceftriaxone for 5 days and topical cefmenoxime 0.5% for 2 weeks. Following 24 hours after antibiotics medication, the clinical symptoms were improved, and follow-up culture was negative. No evidence of serious complication was left in the cornea and conjunctiva.CONCLUSIONS:
As adult gonococcal keratoconjuctivitis is relatively rare, the clinical diagnosis may be delayed. When one suspects an adult gonococcal keratoconjunctivitis, immediate gram staining and confirmatory culture for isolation of gram-negative intracellular diplococci are mandatory. It should be remembered that intramuscular ceftriaxone and topical cefmenoxime are an effective treatment for this condition.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ceftriaxone
/
Cefmenoxime
/
Gonorrhea
/
Follow-Up Studies
/
Conjunctiva
/
Conjunctivitis
/
Cornea
/
Diagnosis
/
Sex Workers
/
Keratitis
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2002
Type:
Article
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