Miranda-Rollón M D, Sentieri-Omarrementería A, Martínez-Rodríguez R, Junceda-Moreno C
Servicio de Oftalmología, Hospital de Cabueñes, Gijón (Asturias), España.
Arch Soc Esp Oftalmol. 2009 Mar;84(3):155-7. doi: 10.4321/s0365-66912009000300009.
We present a 46-year-old man diagnosed initially with atypical adenoviral conjunctivitis and advanced marginal queratolysis with risk of perforation. The final diagnosis was gonococcal keratoconjunctivitis. The patient was successfully treated with amniotic membrane transplant, topic and systemic ceftriaxone (50 mg/ml and 1 grame/12 hours intravenous).
Gonorrhea must be suspected in cases of torpid evolution conjunctivitis.
我们报告一名46岁男性，最初被诊断为非典型腺病毒性结膜炎和进展性边缘性角膜溶解并有穿孔风险。最终诊断为淋菌性角膜结膜炎。患者通过羊膜移植、局部和全身使用头孢曲松（50毫克/毫升和1克/12小时静脉注射）成功治愈。
对于进展缓慢的结膜炎病例，必须怀疑淋病。
