Gonococcal Conjunctivitis: Molecular Diagnosis and Systemic Management in an Adult
DOI:
https://doi.org/10.56147/jmcscr.2.1.15Keywords:
- Gonococcal conjunctivitis,
- Neisseria gonorrhoeae,
- Ocular infection,
- STI,
- Antibiotic treatment
Abstract
Introduction: Gonococcal conjunctivitis is an acute ocular infection caused by Neisseria gonorrhoeae, typically transmitted sexually. Although more frequent in neonates, it can affect adults through autoinoculation or direct contact with infected secretions. Early diagnosis is crucial to prevent severe complications, such as corneal perforation and vision loss.
Case presentation: We present the clinical case of a 21-year-old male patient who sought consultation for bilateral ciliary and conjunctival hyperemia and yellowish purulent discharge, showing no improvement after five days of empirical treatment with tobramycin eye drops every four hours. Due to the persistence of symptoms, cultures and PCR were performed, confirming infection by Neisseria gonorrhoeae.
Management: Treatment was initiated with a single 1000 mg dose of intravenous ceftriaxone and topical norfloxacin every four hours for 10 days, achieving complete resolution of symptoms and negative follow-up cultures.
Conclusion: Although rare in adults, gonococcal conjunctivitis demands high clinical suspicion when empirical treatment fails. The use of molecular detection techniques allows for rapid diagnostic confirmation, with systemic management serving as the fundamental pillar to prevent permanent visual sequelae and ensure therapeutic success.
