Frequently ocular saline lavage and topical antibiotics have been recommended as ancillary therapy in the treatment of gonococcal ophthalmia, but are not essential for successful treatment of N. Without proper treatment, it can evolve and lead to fulminant ocular perforation within 24 h. Gonococcal conjunctivitis is an emergency, requiring aggressive management to be fully codified. Corneal melting, subepithelial infiltrates, edema of cornea, and corneal perforation may be seen. Gonorrhoea causes profuse, hyperacute purulent discharge accompanied by severe conjunctival chemosis and dilatation of the conjunctival vessels, eyelid swelling, and epithelial or stromal keratitis. reported epidemics of gonococcal conjunctivitis in Australian children. An instance of ocular gonococcal infection in an adult even in the absence of genital infection has been reported in the literature. Most cases in neonates or adults are contracted through infected urine or genital secretions. Gonococcal ocular infection can be divided into two distinct forms, one affecting neonates and the other sexually active adults. ![]() ![]() Gonorrohea infects mucous membranes viz., urethra, cervix, rectum, pharynx, synovium, and eye. Reported herein is a case with unilateral gonococcal conjunctivitis with intracellular gram-negative diplococci and gonococcal urethritis, without any adverse outcome in the eye owing to a prompt diagnosis and treatment. The genital infection in a patient presenting with red eye may be missed if not questioned, specifically for, by the physician to whom the case presents initially. The therapeutic decision making process is complicated by the necessity for prompt, effective parenteral therapy, frequent coinfection with other sexually transmitted diseases, and emergence of antibiotic resistance. Gonococcal keratoconjunctivitis is a potentially devastating infection because Neisseria gonorrhoeae can cause a rapid, severe, ulcerative keratitis resulting in visual loss. As gonococcal eye infection in the adults is very rare, the clinical diagnosis may be delayed. This infection may be transmitted to other organs such as eyes by contact via unclean hands. It is the second most common bacterial sexually transmitted infection (STI) in the US. ![]() Gonorrhoea is a sexually transmitted disease caused by Neisseria gonorrhoeae.
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