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© Daniel Lai, Keith Ong, 2020
Dubbo Eye Centre
University of Sydney/ Royal North Shore Hospital/ Ryde Hospital/ Dalcross Adventist Hospital
How to Cite
Adult gonococcal keratoconjunctivitis: early detection is key
Vol 17 No 1 (2019): Asian Journal of Ophthalmology
Submitted: May 7, 2017
Published: Jan 17, 2020
We describe a case of a 52-year-old male presenting with severe mucopurulent conjunctivitis of the right eye. Corneal ulceration and associated anterior chamber activity was noted later in the course of the disease. Neisseria gonorrhoeae was positive on polymerase chain reaction (PCR) testing earlier than traditional microscopy and culture. He was successfully treated with ceftriaxone 500 mg intravenously and azithromycin 1 g orally as single doses in addition to ofloxacin ophthalmic solution 0.3% hourly to the right eye. This case highlights the need to consider the possibility of gonococcus in cases of suspected bacterial conjunctivitis, careful monitoring for corneal involvement and the importance of early detection with PCR.