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성인 남성에서 단안에 발생한 임균성 결막염 1례

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Author(s)
이유현류남희전종화
Publication Year
2018
Keyword
CephalosporinGonococcal conjunctivitisNeisseria gonorrheae
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
Alternative Title
A Case of Monocular Gonococcal Conjunctivitis in an Adult Male
Department
Dept. of Laboratory Medicine (진단검사의학)
Dept. of Ophthalmology (안과학)
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.37(2) : 101-105-101-105, 2018
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/40368
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