TITLE:
Corneal Perforation in a Patient with History of Unidentified Urethritis
AUTHORS:
Glenda Espinosa-Barberi, Sara Miranda Fernández, Rosa Borges Trujillo, Joaquín José Rutllán Civit, Iballa Horcajada Herrera
KEYWORDS:
Corneal Perforation, Gonococcal Conjunctivitis, Keratoconjunctivitis, Microbiological Culture
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.8 No.1,
February
7,
2018
ABSTRACT: Purpose: A 40-year-old male with a severe corneal melting, peripheral infiltration and nasal perforation in the right eye after a not affiliated case of urethritis is reported. Methods: Retrospective case report. Results: A sample of conjunctival discharge was sent to culture, in where Gram-diplococci grew and therefore a systemic antibiotic treatment was initiated. Given the severity of the clinic, a penetrating keratoplasty is conducted two days after admission and the corneal button was sent to microbiology, which polymerase chain reaction was positive for Neisseria gonorrhoeae. Conclusion: Despite it being a rare process in an adult, keratitis caused by Neisseria gonorrhoeae should be suspected in all sexually active patients with conjunctivitis and with a clinic genitourinary medical history. The systemic therapy showed a superior effectiveness in combination with topical therapy than the last one on its own.