Complication of Gonococcal Keratoconjunctivitis by Neisseria-Gonorrhoeae

Abstract A 45-year-old heterosexual male patient, married with one daughter, with no significant medical history in previous consultations.He presented to the emergency department at Hospital Arruzafa on 11/08/2022 with whitish discharge, tearing, and discomfort in both eyes. Upon examination, tarsal and bulbar conjunctival hyperaemia, papillary reaction, and mild chemosis were detected. The initial clinical diagnosis was acute conjunctivitis, likely of viral origin. Appropriate treatment was prescribed for this type of pathology, and the patient was advised to strictly adhere to a series of hygiene measures. Five days later, the patient returned to the emergency department with abundant yellowish discharge and severe eyelid oedema. Due to the eyelid swelling, examination was difficult, but near complete corneal lysis was observed in the right eye (RE), along with a superior descemetocele in the left eye (LE) (Figure 1). The patient was informed of the poor prognosis and seriousness of the condition. Cultures were taken due to a suspected gonococcal keratoconjunctivitis, and a new treatment regimen with daily hospital visits was initiated.