Journal of pediatric and adolescent gynecology · 2016
Gonococcal Conjunctivitis: A Case Report of an Unusual Mode of Transmission.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Bodurtha Smith Anna Jo, Holzman Samuel B, Manesh Reza Sedighi, Perl Trish M
Аннотация
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.
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.