Gonococcal Conjunctivitis: A Case Report of an Unusual Mode of Transmission

Anna Jo Bodurtha Smith, Samuel B. Holzman, Reza Manesh, Trish M. Perl

Research output: Contribution to journalArticle

Abstract

Background: Outside of the newborn period, development of gonococcal conjunctivitis is rare and predominantly occurs through autoinoculation. We report an unusual case of gonococcal conjunctivitis in a young woman exposed through direct inoculation. Case: A 19-year-old woman presented with purulent ocular discharge, severe pain, and decreased vision unresponsive to topical antibiotics or ganciclovir approximately 3 weeks after accidental ocular exposure to seminal fluid during unprotected oral sex. Cultured ocular drainage grew Neisseria gonorrhea; vaginal and throat cultures were negative. She was successfully treated with ceftriaxone and doxycycline for 10 days. Summary and Conclusion: Clinicians should be aware of the potential for vision-threatening gonococcal conjunctivitis from exposure during sexual contact.

Original languageEnglish (US)
JournalJournal of Pediatric and Adolescent Gynecology
DOIs
StateAccepted/In press - 2016

Keywords

  • Adolescent
  • Conjunctivitis
  • Female
  • Gonorrhea
  • Oral sex
  • Sexually transmitted infection

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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