Gonococcal Conjunctivitis: A Case Report of an Unusual Mode of Transmission

Anna Jo Bodurtha Smith, Samuel B. Holzman, Reza Sedighi Manesh, Trish M. Perl

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Background Outside of the newborn period, development of gonococcal conjunctivitis is rare and predominantly occurs through autoinoculation. We report an unusual case of gonococcal conjunctivitis in a young woman exposed through direct inoculation. Case A 19-year-old woman presented with purulent ocular discharge, severe pain, and decreased vision unresponsive to topical antibiotics or ganciclovir approximately 3 weeks after accidental ocular exposure to seminal fluid during unprotected oral sex. Cultured ocular drainage grew Neisseria gonorrhea; vaginal and throat cultures were negative. She was successfully treated with ceftriaxone and doxycycline for 10 days. Summary and Conclusion Clinicians should be aware of the potential for vision-threatening gonococcal conjunctivitis from exposure during sexual contact.

Original languageEnglish (US)
Pages (from-to)501-502
Number of pages2
JournalJournal of pediatric and adolescent gynecology
Issue number4
StatePublished - Aug 2017


  • Adolescent
  • Conjunctivitis
  • Female
  • Gonorrhea
  • Oral sex
  • Sexually transmitted infection

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health


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