Gonococcus – The culprit of refractory, severe conjunctivitis in an elderly patient

Highlights • We present an unusual case of gonococcal keratoconjunctivitis in an elderly patient. • Lack of sexual risk factors, patient age and no genital co-infection make it unusual. • Rapid diagnosis with microbiological testing is paramount; consider throat swabs. • Rapid systemic treatment, us...

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Bibliographic Details
Published in:Contact lens & anterior eye 2015-12, Vol.38 (6), p.468-470
Main Authors: Hoffman, Jeremy J.S, Ali, Bazga
Format: Article
Language:English
Subjects:
Adult gonococcal keratoconjunctivitis
Aged
Anti-Bacterial Agents - therapeutic use
Ceftriaxone - therapeutic use
Conjunctivitis, Bacterial - diagnosis
Conjunctivitis, Bacterial - drug therapy
Conjunctivitis, Bacterial - microbiology
Eye Infections, Bacterial - diagnosis
Eye Infections, Bacterial - drug therapy
Eye Infections, Bacterial - microbiology
Gonococcal conjunctivitis
Gonococcus
Gonorrhea - diagnosis
Gonorrhea - drug therapy
Gonorrhea - microbiology
Gonorrhoea
Humans
Male
Microbial Sensitivity Tests
Neisseria gonorrhoeae - isolation & purification
Ophthalmia venerea
Ophthalmology
Red eye
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Summary:Highlights • We present an unusual case of gonococcal keratoconjunctivitis in an elderly patient. • Lack of sexual risk factors, patient age and no genital co-infection make it unusual. • Rapid diagnosis with microbiological testing is paramount; consider throat swabs. • Rapid systemic treatment, usually intramuscular ceftriaxone, is key. • Gonococcal conjunctivitis is possible in the absence of genital co-infection.
ISSN:1367-0484
1476-5411
DOI:10.1016/j.clae.2015.04.006