Transcending the red eye: a nearly missed case of adult gonococcal conjunctivitis.

Said, Abdul Hadi and Sukaimy, Fatimah Suhaila and Mansor, Noor Emilia Emira (2025) Transcending the red eye: a nearly missed case of adult gonococcal conjunctivitis. Asian Journal of Medicine and Health Sciences, 8 (2). pp. 254-260. E-ISSN 2637-0603

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Abstract

Gonorrhoea is a sexually transmitted disease with a rising incidence worldwide. Adult gonococcal conjunctivitis is relatively uncommon but poses significant risks, including corneal perforation if not treated promptly. Diagnosis can be challenging, and delayed or misdiagnosis may occur due to its resemblance to other common forms of conjunctivitis. We reported a case of a 35-year-old sexually active male with persistent unilateral conjunctivitis that did not respond to standard topical antibiotics. Further investigation revealed Neisseria gonorrhoeae as the causative organism. Despite developing corneal thinning, the patient responded well to prompt systemic and topical antibiotics, with preservation of vision. This case highlights the importance of taking a comprehensive history, including sexual history, to facilitate early detection and treatment, which can help prevent complications

Item Type:	Article (Case Report)
Additional Information:	124538/6765
Uncontrolled Keywords:	Gonococcal conjunctivitis , Neisseria gonorrhoeae, gonorrhoea, red eye
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine R Medicine > RC Internal medicine > RC111 Infectious and Parasitic Diseases R Medicine > RE Ophthalmology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User:	nur hakimah a manan
Date Deposited:	19 Nov 2025 12:04
Last Modified:	19 Nov 2025 12:04
Queue Number:	2025-11-Q102
URI:	http://irep.iium.edu.my/id/eprint/124538

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