Gonococcal Keratoconjunctivitis in Adult.
- Author:
Hyun Kyu KIM
1
;
Jong Soo LEE
;
Ju Rak LEE
Author Information
1. Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea. jongsool@hyowon.pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Cefmenoxime (Bestron R );
Ceftriaxone (Rocephin R );
Gonococcal keratoconjunctivitis;
Penicillin-resistant Neisseria gonorrhea
- MeSH:
Adult*;
Anti-Bacterial Agents;
Cefmenoxime;
Ceftriaxone;
Conjunctiva;
Conjunctivitis;
Cornea;
Diagnosis;
Follow-Up Studies;
Gonorrhea;
Humans;
Keratitis;
Keratoconjunctivitis*;
Male;
Neisseria;
Sex Workers
- From:Journal of the Korean Ophthalmological Society
2002;43(4):786-790
- CountryRepublic of Korea
- Language:Korean
-
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.
