We report a case of severe gonococcal ophthalmia and peri-orbital cellulitis in an HIV-positive man without genital infection who was treated successfully in the outpatient department. We also highlight the importance of early diagnosis, treatment and liaison with ophthalmology in order to prevent visual complications.
MakBD, SmithDW, HarnettGB, PlantAJ. A large outbreak of conjunctivitis caused by a single genotype of Neisseria gonorrhoea distinct from those causing genital tract infection.Epidemiol Infect2001; 126: 373–8.
2.
HarryTC, BlackPD. Unilateral gonococcal opthalmia without genital infection: an unusual presentation in an adult.Int J of STD AIDS2005; 16: 78–9.
3.
Centres for Disease Control and Prevention (CDC).Update to CDC's sexually transmitted diseases treatment guidelines, 2006: fluoroquinolones no longer recommended for treatment of gonococcal infections.MMWR2007; 56: 332–6.
4.
GRASP2005. Gonococcal Resistance to Antimicrobials Surveillance Programme (GRASP) Steering Group.London, England: Health Protection Agency, 2006.
5.
Updated recommended treatment guidelines for gonococcal infections and associated conditions, 2007. See [http://www.cdc.gov/std/].
6.
British Association for Sexual Health and HIV (BASHH). Clinical Effectiveness Guidelines. Management of Gonorrhoea in Adults. 2005.
