Challenges in the management of Neisseria gonorrhoeae keratitis

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• 作者：Elizabeth McElnea ; Patrick Stapleton ; Sheryar Khan…
• 关键词：Neisseria gonorrhoeae ; Keratoconjunctivitis ; Keratitis ; Lamellar keratoplasty ; Purulent discharge
• 刊名：International Ophthalmology
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：35
• 期：1
• 页码：135-140
• 全文大小：426 KB
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• 作者单位：Elizabeth McElnea (1)
  Patrick Stapleton (2)
  Sheryar Khan (1)
  John Stokes (1)
  Gareth Higgins (1)
  
  1. Department of Ophthalmology, Waterford Regional Hospital, Waterford, Co. Waterford, Ireland
  2. Department of Microbiology, Waterford Regional Hospital, Waterford, Co. Waterford, Ireland
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Ophthalmology
  
• 出版者：Springer Netherlands
• ISSN：1573-2630

文摘

We describe the presentation and subsequent management of a case of keratitis caused by Neisseria gonorrhoeae. A thirty-nine year old gentleman presented with a purulent ocular discharge. Corneal melt with corneal perforation occurred. Neisseria gonorrhoeae was cultured. Systemic and topical antibiotics were given. Deep lamellar keratoplasty was performed for corneal perforation. At three months post treatment no recurrence of infection was noted. The possibility of Neisseria gonorrhoeaea keratitis should always be considered in patients with a purulent ocular discharge even if the case?history is not immediately suggestive of the same. Severe gonococcal keratitis may be unilateral. Deep lamellar keratoplasty can be considered as a therapeutic option in patients with severe gonococcal keratitis.