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성인 남성에서 단안에 발생한 임균성 결막염 1례

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Author(s)
이유현류남희전종화
Keimyung Author(s)
Ryoo, Nam HeeJun, Jong Hwa
Department
Dept. of Laboratory Medicine (진단검사의학)
Dept. of Ophthalmology (안과학)
Journal Title
Keimyung Medical Journal
Issued Date
2018
Volume
37
Issue
2
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
Keimyung Author(s)(Kor)
류남희
전종화
Publisher
Keimyung University School of Medicine
Citation
이유현 et al. (2018). 성인 남성에서 단안에 발생한 임균성 결막염 1례. Keimyung Medical Journal, 37(2), 101-105-101–105.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/40368
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2018
1. School of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학)
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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