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A Case of Acute Gonococcal Conjunctivitis in an Unusual Age Group

Rachana Singh Rana1, Reeta Gurung

  • 1Tilganga Institute of Ophthalmology, Nepal.

Nepalese Journal of Ophthalmology : a Biannual Peer-Reviewed Academic Journal of the Nepal Ophthalmic Society : NEPJOPH
|May 13, 2021
PubMed

Insights

Acute gonococcal conjunctivitis (GCC) can affect toddlers through nonsexual transmission. Early diagnosis and treatment are crucial, even in unusual age groups.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Infectious Diseases

Background:

  • Acute gonococcal conjunctivitis (GCC) is typically seen in newborns but can occur in other age groups.
  • This case highlights GCC in a 2.5-year-old child, emphasizing atypical presentations.

Observation:

  • A 2.5-year-old female child presented with severe unilateral conjunctivitis, characterized by redness, purulent discharge, and eyelid swelling.
  • Conjunctival swab cultures confirmed the presence of Neisseria gonorrhoeae.

Findings:

  • The child received intravenous antibiotics and fortified eye medications for treatment.
  • The diagnosis of gonococcal conjunctivitis was established through microbiological culture.

Implications:

  • Gonococcal conjunctivitis in young children may result from nonsexual transmission routes.
  • Thorough patient history, including potential sexual abuse, and physical examination are vital for diagnosis in toddlers.
  • Clinicians should consider gonococcal conjunctivitis in the differential diagnosis for conjunctivitis in young children.
Abstract

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