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June 17, 2026Clinical Case ReportsOpen Access

Adult Gonococcal Conjunctivitis Complicated by Peripheral Ulcerative Keratitis: A Case Report

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Authors

PSPrashim SharmaRCRamesh Bikram Khatri ChhetriAAAlisha Adhikari

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Overview

Case report reveals severe vision-threatening complications from gonococcal conjunctivitis, underscoring timely intervention.

Key Points

  • This report aims to highlight the rare occurrence of gonococcal conjunctivitis in adults and its potential severe complications.
  • Detailed ocular examination and clinical assessment of a 42-year-old male with gonococcal conjunctivitis.
  • Treatment involved intravenous ceftriaxone, oral doxycycline, and amniotic membrane grafting.
  • Broad STI screening and timely surgical intervention were performed to address complications.
  • After treatment, the patient achieved a visual acuity of 6/9 bilaterally with healed ulcers.
  • Gram staining showed intracellular gram-negative diplococci confirming gonococcal infection.
  • Progressive corneal thinning necessitated surgical intervention to restore vision.

Cite This Study

Sharma et al. (2026) studied this question.

synapsesocial.com/papers/6a3238e2d50b63ecad2049d2https://doi.org/10.1002/ccr3.72947
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Blepharoconjunctivitis With Corneal Ulcer in A Pediatric Patient: Case Report2025
  2. 2Gonococcal Dacryoadenitis: A Case Report2026
  3. 3Gonococcal Conjunctivitis in a Low Birth Weight Baby with No Antenatal Care Visits: Case Report2025
  4. 4OP-5 Increased incidence of adult gonococcal keratoconjunctivitis at two tertiary eye hospitals in Western Europe: clinical features, complications and antimicrobial susceptibility2024
  5. 5A Case of Adult-onset Presumed Congenital Syphilitic Keratitis: A Multidisciplinary Management Approach2026