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  • Delay in diagnosis resulting in corneal perforation: nucleic acid amplification tests for a rapid identification of ocular Neisseria gonorrhoeae infection

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Clinical
Research letter
Delay in diagnosis resulting in corneal perforation: nucleic acid amplification tests for a rapid identification of ocular Neisseria gonorrhoeae infection
  1. Nerea Sevilla1,
  2. Sara Martin1,
  3. Judit Serra-Pladevall2,
  4. Eric Kirkegaard1,
  5. Laia Bisbe1,
  6. Javier José Puig1
  1. 1 Ophthalmology Department, Hospital Vall d'Hebron, Barcelona, Spain
  2. 2 Microbiology Department, Hospital Vall d'Hebron, Barcelona, Spain
  1. Correspondence to Dr Nerea Sevilla, Ophthalmology, Hospital Vall d'Hebron, Barcelona 08035, Spain; nereasevi{at}hotmail.com

https://doi.org/10.1136/sextrans-2020-054549

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    Gonococcus (GC) is considered one of the most prevalent STIs worldwide. We report a case of gonococcal ocular infection (GOI) in a 40-year-old man. He consulted for a 4-week history of unilateral purulent conjunctivitis and severe pain, after experimenting clinical worsening despite having been treated for viral conjunctivitis. On examination, visual acuity (VA) was 20/63, and superior corneal perforation with iris prolapse was observed. After directed history, he revealed high-risk sexual behaviour within the last 3 months and mild proctalgia starting …

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    Footnotes

    • Handling editor Anna Maria Geretti

    • Twitter @EricKirkegaard

    • Contributors All authors have seen and approved the manuscript and contributed significantly to the preparation of the manuscript, with NS as the main contributor and corresponding author.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.