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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

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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
1.
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 PubMedGoogle ScholarCrossref
2.
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 PubMedGoogle ScholarCrossref
3.
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 PubMedGoogle ScholarCrossref
4.
Ullman  S , Roussel  TJ , Forster  RK .  Gonococcal keratoconjunctivitis.   Surv Ophthalmol. 1987;32(3):199-208. doi:10.1016/0039-6257(87)90095-6 PubMedGoogle ScholarCrossref
5.
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 PubMedGoogle ScholarCrossref
6.
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
7.
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/
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