Bilateral Gonococcal Conjunctivitis amidst the Viral Keratoconjunctivitis Epidemic in Tanzania: A Case-Report

Abstract

Gonococcal conjunctivitis is a potentially blinding infectious eye disease if not diagnosed and treated early. We report a case of 31-year-old female who presented with excessive purulent eye discharge and reduced vision for ten days. She had symptoms and signs of genital infection. Ulcerative keratitis was present in both eyes. Diagnosis of gonococcal keratoconjunctivitis was confirmed by gram stain and patient was given high-dose intravenous ceftriaxone injections. Right eye ulcerative keratitis progressed to corneal perforation and blindness. We report this case to remind clinicians to maintain high levels of suspicion when dealing with conjunctivitis, which does not respond to standard therapies.