Corneal Perforation in a Patient with History of Unidentified Urethritis ()
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.
Share and Cite:
Espinosa-Barberi, G. , Fernández, S. , Trujillo, R. , Civit, J. and Herrera, I. (2018) Corneal Perforation in a Patient with History of Unidentified Urethritis.
Open Journal of Ophthalmology,
8, 36-41. doi:
10.4236/ojoph.2018.81006.
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