Gonococcal Conjunctivitis: A Case Report of an Unusual Mode of Transmission

Anna Jo Bodurtha Smith, Samuel B. Holzman, Reza Sedighi Manesh, Trish M. Perl

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background Outside of the newborn period, development of gonococcal conjunctivitis is rare and predominantly occurs through autoinoculation. We report an unusual case of gonococcal conjunctivitis in a young woman exposed through direct inoculation. Case A 19-year-old woman presented with purulent ocular discharge, severe pain, and decreased vision unresponsive to topical antibiotics or ganciclovir approximately 3 weeks after accidental ocular exposure to seminal fluid during unprotected oral sex. Cultured ocular drainage grew Neisseria gonorrhea; vaginal and throat cultures were negative. She was successfully treated with ceftriaxone and doxycycline for 10 days. Summary and Conclusion Clinicians should be aware of the potential for vision-threatening gonococcal conjunctivitis from exposure during sexual contact.

Original languageEnglish (US)
Pages (from-to)501-502
Number of pages2
JournalJournal of Pediatric and Adolescent Gynecology
Volume30
Issue number4
DOIs
StatePublished - Aug 1 2017

Fingerprint

Conjunctivitis
Unsafe Sex
Ganciclovir
Ceftriaxone
Neisseria gonorrhoeae
Doxycycline
Pharynx
Sexual Behavior
Drainage
Newborn Infant
Anti-Bacterial Agents
Pain

Keywords

  • Adolescent
  • Conjunctivitis
  • Female
  • Gonorrhea
  • Oral sex
  • Sexually transmitted infection

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Gonococcal Conjunctivitis : A Case Report of an Unusual Mode of Transmission. / Bodurtha Smith, Anna Jo; Holzman, Samuel B.; Manesh, Reza Sedighi; Perl, Trish M.

In: Journal of Pediatric and Adolescent Gynecology, Vol. 30, No. 4, 01.08.2017, p. 501-502.

Research output: Contribution to journalArticle

Bodurtha Smith, Anna Jo ; Holzman, Samuel B. ; Manesh, Reza Sedighi ; Perl, Trish M. / Gonococcal Conjunctivitis : A Case Report of an Unusual Mode of Transmission. In: Journal of Pediatric and Adolescent Gynecology. 2017 ; Vol. 30, No. 4. pp. 501-502.
@article{62ccaed2824a45288a1da85ef7779282,
title = "Gonococcal Conjunctivitis: A Case Report of an Unusual Mode of Transmission",
abstract = "Background Outside of the newborn period, development of gonococcal conjunctivitis is rare and predominantly occurs through autoinoculation. We report an unusual case of gonococcal conjunctivitis in a young woman exposed through direct inoculation. Case A 19-year-old woman presented with purulent ocular discharge, severe pain, and decreased vision unresponsive to topical antibiotics or ganciclovir approximately 3 weeks after accidental ocular exposure to seminal fluid during unprotected oral sex. Cultured ocular drainage grew Neisseria gonorrhea; vaginal and throat cultures were negative. She was successfully treated with ceftriaxone and doxycycline for 10 days. Summary and Conclusion Clinicians should be aware of the potential for vision-threatening gonococcal conjunctivitis from exposure during sexual contact.",
keywords = "Adolescent, Conjunctivitis, Female, Gonorrhea, Oral sex, Sexually transmitted infection",
author = "{Bodurtha Smith}, {Anna Jo} and Holzman, {Samuel B.} and Manesh, {Reza Sedighi} and Perl, {Trish M.}",
year = "2017",
month = "8",
day = "1",
doi = "10.1016/j.jpag.2016.11.003",
language = "English (US)",
volume = "30",
pages = "501--502",
journal = "Journal of Pediatric and Adolescent Gynecology",
issn = "1083-3188",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - Gonococcal Conjunctivitis

T2 - A Case Report of an Unusual Mode of Transmission

AU - Bodurtha Smith, Anna Jo

AU - Holzman, Samuel B.

AU - Manesh, Reza Sedighi

AU - Perl, Trish M.

PY - 2017/8/1

Y1 - 2017/8/1

N2 - Background Outside of the newborn period, development of gonococcal conjunctivitis is rare and predominantly occurs through autoinoculation. We report an unusual case of gonococcal conjunctivitis in a young woman exposed through direct inoculation. Case A 19-year-old woman presented with purulent ocular discharge, severe pain, and decreased vision unresponsive to topical antibiotics or ganciclovir approximately 3 weeks after accidental ocular exposure to seminal fluid during unprotected oral sex. Cultured ocular drainage grew Neisseria gonorrhea; vaginal and throat cultures were negative. She was successfully treated with ceftriaxone and doxycycline for 10 days. Summary and Conclusion Clinicians should be aware of the potential for vision-threatening gonococcal conjunctivitis from exposure during sexual contact.

AB - Background Outside of the newborn period, development of gonococcal conjunctivitis is rare and predominantly occurs through autoinoculation. We report an unusual case of gonococcal conjunctivitis in a young woman exposed through direct inoculation. Case A 19-year-old woman presented with purulent ocular discharge, severe pain, and decreased vision unresponsive to topical antibiotics or ganciclovir approximately 3 weeks after accidental ocular exposure to seminal fluid during unprotected oral sex. Cultured ocular drainage grew Neisseria gonorrhea; vaginal and throat cultures were negative. She was successfully treated with ceftriaxone and doxycycline for 10 days. Summary and Conclusion Clinicians should be aware of the potential for vision-threatening gonococcal conjunctivitis from exposure during sexual contact.

KW - Adolescent

KW - Conjunctivitis

KW - Female

KW - Gonorrhea

KW - Oral sex

KW - Sexually transmitted infection

UR - http://www.scopus.com/inward/record.url?scp=85008329609&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85008329609&partnerID=8YFLogxK

U2 - 10.1016/j.jpag.2016.11.003

DO - 10.1016/j.jpag.2016.11.003

M3 - Article

C2 - 27871917

AN - SCOPUS:85008329609

VL - 30

SP - 501

EP - 502

JO - Journal of Pediatric and Adolescent Gynecology

JF - Journal of Pediatric and Adolescent Gynecology

SN - 1083-3188

IS - 4

ER -