Purulent Conjunctivitis and Progressive Corneal Stromal Necrosis

Educational Objective
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.

1 Credit CME

JAMA Ophthalmology

August 1, 2021

JAMA Ophthalmology Clinical Challenge

Article Information and Disclosures

Amer F. Alsoudi, BS^1,2;

Zeeshan Haq, MD²;

Gerami D. Seitzman, MD^2,3

Author Affiliations

¹School of Medicine, University of California San Francisco, San Francisco
²Department of Ophthalmology, University of California San Francisco, San Francisco
³Francis I. Proctor Foundation for Research in Ophthalmology, University of California San Francisco, San Francisco

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Article Information

Corresponding Author: Gerami D. Seitzman, MD, Department of Ophthalmology, University of California San Francisco, Francis I. Proctor Foundation, 490 Illinois St, San Francisco, CA 94158 (gerami.seitzman@ucsf.edu).

Published Online: June 3, 2021. doi:10.1001/jamaophthalmol.2020.5442

Conflict of Interest Disclosures: Dr Seitzman reported serving as a paid consultant to Dompé unrelated to the scope of this work. No other disclosures were reported.

Additional Contributions: We thank the patient for granting permission to publish this information.

References

Lin A , Rhee MK , Akpek EK , et al; American Academy of Ophthalmology Preferred Practice Pattern Cornea and External Disease Panel. Bacterial Keratitis Preferred Practice Pattern^®. Ophthalmology. 2019;126(1):1-P55. doi:10.1016/j.ophtha.2018.10.018 PubMed Google Scholar Crossref

Belga S , Gratrix J , Smyczek P , et al. Gonococcal conjunctivitis in adults: case report and retrospective review of cases in Alberta, Canada, 2000-2016. Sex Transm Dis. 2019;46(1):47-51. doi:10.1097/OLQ.0000000000000897 PubMed Google Scholar Crossref

McAnena L , Knowles SJ , Curry A , Cassidy L . Prevalence of gonococcal conjunctivitis in adults and neonates. Eye (Lond). 2015;29(7):875-880. doi:10.1038/eye.2015.57 PubMed Google Scholar Crossref

Ullman S , Roussel TJ , Forster RK . Gonococcal keratoconjunctivitis. Surv Ophthalmol. 1987;32(3):199-208. doi:10.1016/0039-6257(87)90095-6 PubMed Google Scholar Crossref

Wan WL , Farkas GC , May WN , Robin JB . The clinical characteristics and course of adult gonococcal conjunctivitis. Am J Ophthalmol. 1986;102(5):575-583. doi:10.1016/0002-9394(86)90527-1 PubMed Google Scholar Crossref

Gonococcal infections in adolescents and adults. 2015 STD Treatment Guidelines. Centers for Disease Control and Prevention. Accessed June 7, 2020. https://www.cdc.gov/std/tg2015/gonorrhea.htm

Costumbrado J , Ng DK , Ghassemzadeh S . Gonococcal Conjunctivitis. In: StatPearls [Internet]. StatPearls Publishing; 2020. Accessed May 28, 2020. https://www.ncbi.nlm.nih.gov/books/NBK459289/

Purulent Conjunctivitis and Progressive Corneal Stromal Necrosis

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