Two Cases of Adult Inclusion Conjunctivitis Masquerading as Chronic Conjunctivitis
10.3341/jkos.2022.63.9.790
- Author:
Keon Woo PARK
1
;
Sang Hun YUN
;
Da Eun JEONG
;
Jae Woong KOH
Author Information
1. Department of Ophthalmology, Chosun University College of Medicine, Gwangju, Korea
- Publication Type:Case Report
- From:Journal of the Korean Ophthalmological Society
2022;63(9):790-794
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Purpose:To report two cases of adult inclusion conjunctivitis masquerading as chronic conjunctivitis.Case summary: (Case 1) A 34-year-old man presented with a foreign body sensation in his right eye for 2 months. At the first visit, slit lamp examination showed follicles on the inferior palpebral conjunctiva. Chlamydia trachomatis immunoglobulin M (IgM) antibody and polymerase chain reaction (PCR) tests were positive. The patient was prescribed doxycycline for 1 week, which improved the symptoms, followed by gentamicin and levofloxacin for an additional 5 days, which further improved the clinical symptoms and conjunctivitis. (Case 2) A 39-year-old man presented with right eye pain and redness for 5 months. At the first visit, slit lamp examination showed follicles on the inferior palpebral conjunctiva. Chlamydia trachomatis IgM antibody and PCR tests were positive. After 1 week of doxycycline treatment, the clinical symptoms and conjunctivitis improved.
Conclusions:Because adult inclusion conjunctivitis caused by chlamydial infection has non-specific symptoms, it can be misdiagnosed as chronic conjunctivitis. A detailed medical history and appropriate diagnostic tests are necessary to make this diagnosis.
