title: [Purulent keratoconjunctivitis due to Neisseria gonorrhoeae and Chlamydia trachomatis coinfection].
abstract: Gonococcal conjunctivitis is a rare infection induced by Neisseria gonorrhoeae and it usually manifests as a hyperacute purulent conjunctivitis. Ocular access of the infectious secretion during sexual intercourse is the way of transmission among adults. Inclusion conjunctivitis caused by the serovars D-K of Chlamydia trachomatis also affects the sexually active population. Authors present a case of a 33-year-old homosexual man who was treated for late latent syphilis formerly. Clinical symptoms were yellow purulent discharge for 3 weeks without any urological or upper respiratory tract symptoms. Conjunctival Neisseria gonorrhoeae and Chlamydia trachomatis infection was identified using cultures and polymerase chain reaction; pharyngeal swab culture and polymerase chain reaction showed positive results for both pathogens. The patient was probably under influence of party drugs at the time of sexual abuse when he became infected. After parenteral and oral cephalosporin and azithromycin therapy the patient had complete recovery within three weeks.
authors.affiliation: Bajcsy-Zsilinszky Kórház Bőrgyógyászati Szakrendelő Budapest. arvaimariann@freemail.hu
authors.forename: Mariann
authors.initials: M
authors.lastname: Arvai
authors.forename: Eszter
authors.initials: E
authors.lastname: Ostorházi
authors.forename: Noémi
authors.initials: N
authors.lastname: Mihalik
authors.forename: Sarolta
authors.initials: S
authors.lastname: Kárpáti
authors.forename: Márta
authors.initials: M
authors.lastname: Marschalkó
mesh_terms: D000208:Acute Disease; D000284:Administration, Oral; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D017963:Azithromycin / Q000008:administration & dosage; D002511:Cephalosporins / Q000008:administration & dosage; D002692:Chlamydia trachomatis / Q000235:genetics / Q000302:isolation & purification*; D060085:Coinfection; D003234:Conjunctivitis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D003235:Conjunctivitis, Inclusion / Q000175:diagnosis / Q000382:microbiology; D018451:Homosexuality, Male; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D009344:Neisseria gonorrhoeae / Q000235:genetics / Q000302:isolation & purification*; D016133:Polymerase Chain Reaction; D012742:Sex Offenses; D012725:Sexual Behavior; D013211:Staphylococcus aureus / Q000235:genetics / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D017963:Azithromycin