성인 남성에서 단안에 발생한 임균성 결막염 1례

Other Titles
A Case of Monocular Gonococcal Conjunctivitis in an Adult Male
Authors
이유현류남희전종화
Department
Dept. of Laboratory Medicine (진단검사의학); Dept. of Ophthalmology (안과학)
Issue Date
2018
Citation
Keimyung Medical Journal, Vol.37(2) : 101-105-101-105, 2018
Abstract
Gonococcal conjunctivitis is rare in adults and, if not treated properly, can cause corneal perforation. Gonococcal conjunctivitis typically presents with a severe mucopurulent discharge, similar to that associated with viral conjunctivitis. Here, we describe a case of monocular gonococcal conjunctivitis, including its clinical characteristics and slit-lamp images, which was initially misdiagnosed as epidemic conjunctivitis. A 20-year-old man was referred to our hospital with no improvement in monocular infection and purulent ocular discharge after 2-wk treatment using antibiotic and 0.1% fluorometholone eye drops at the local ophthalmic clinic. Initially, 0.5% loteprednol eye drops were used since we suspected viral conjunctivitis. Following this treatment, conjunctival infection worsened and a yellow-white ocular discharge covered the conjunctiva and cornea surface. Additional history taking revealed that the patient had sexual contact with a prostitute 1 wk prior to symptom presentation and, after the encounter, he took antibiotics for genital discharge at the local urology clinic, but self-discontinued treatment. A Gram staining showed gram-negative diplococci and culture of collected ocular discharge from the palpebral conjunctiva revealed growth of Neisseria gonorrhoeae , confirming gonococcal conjunctivitis. Following this, the patient was systemically treated with 3rd generation cephalosporin antibiotics. After 3-d treatment, conjunctival infection and purulent ocular discharge had significantly improved. When clinical symptoms are aggravated following steroid eye drop treatment for suspected monocular viral conjunctivitis, gonococcal conjunctivitis must be considered as a differential diagnosis
Keywords
CephalosporinGonococcal conjunctivitisNeisseria gonorrheae
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/40368
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2018
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학)
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
Keimyung Author(s)
류남희; 전종화
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