title: Gonococcus - The culprit of refractory, severe conjunctivitis in an elderly patient.
abstract: We present a highly unusual case of microbiologically-confirmed adult gonococcal conjunctivitis in an elderly patient with the absence of genital co-infection and no sexual risk factors. Possible routes of infection are discussed, together with diagnosis and management of gonococcal keratoconjunctivitis. This case serves to highlight the possibility of gonococcal conjunctivitis as a diagnosis in severe, refractory conjunctivitis, even if the patient demographics, lack of pre-existing genital infection or sexual risk factors make gonococcus seem unlikely.
authors.affiliation: Department of Ophthalmology, East Surrey Hospital, Redhill, Surrey RH1 5RH, United Kingdom. Electronic address: jeremy.hoffman@nhs.net.
authors.forename: Jeremy J S
authors.initials: JJ
authors.lastname: Hoffman
authors.affiliation: University Hospital of Wales, Heath Park, Cardiff CF14 4XW, United Kingdom.
authors.forename: Bazga
authors.initials: B
authors.lastname: Ali
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D003234:Conjunctivitis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006069:Gonorrhea / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone
keywords: Adult gonococcal keratoconjunctivitis; Gonococcal conjunctivitis; Gonococcus; Gonorrhoea; Ophthalmia venerea; Red eye