International Journal of STD & AIDS > Volume 19, Number 8 > Pp. 573-574

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Case reports

Outpatient management of severe gonococcal ophthalmia without genital infection

N T Annan MRCP  and F C Boag FRCP

John Hunter Clinic, St Stephen's Centre, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK

Correspondence to: Dr N T Annan, West London Centre for Sexual Health, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK Email: torshie.annan{at}chelwest.nhs.uk

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.

Key Words: Neisseria gonorrhoeae • conjunctivitis • treatment

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