Gonococcal orbital cellulitis in an adolescent: A diagnostic challenge in determining the transmission pathway

Key Points

• Gonococcal orbital cellulitis can lead to severe complications if diagnosis is delayed—prompt recognition is critical.
• In this case, an adolescent presented with significant symptoms, highlighting the urgency of diagnosis and timely treatment.
• Diagnosis was complicated by atypical presentation, requiring comprehensive clinical evaluation to identify the infection source.
• Awareness of gonococcal infections is essential, particularly in adolescents, to ensure rapid intervention and management.