Neisseria Gonorrhoeae Conjunctivitis and Drug Sensitization

Abstract

Neisseria gonorrhoeae infection of the ocular surface causes a hyperacute conjunctival picture that can extend to structures of the anterior segment of the eyeball and cause perforation of the cornea, leading to a loss of its function. It is rare and usually affects newborns and sexually active people. This germ has created resistance to multiple antibiotics with which it has been treated, leaving ceftriaxone as the drug of choice. A case of resistance of Neisseria gonorrhoea to this antibiotic has been reported, so it could become an untreatable germ in the future. A 5-year-old school boy was seen in the emergency room of the Cuban Institute of Ophthalmology Ramón Pando Ferrer, with slight pain in the right eye, intense eyelid edema, intense chemosis, abundant yellowish green secretions. A microbiological study was performed and a diagnosis of gonococcal conjunctivitis was made. The patient was treated with parenteral ceftriaxone in a single dose as anti-infective treatment and the clinical picture resolved immediately, which shows the effectiveness of the antibiotic used. Immediate action in cases of suspected Neisseria gonorrhoeae prevents serious lesions to the eyeball and maintains its structure and functionality intact.