Tilganga Institute of Ophthalmology, Nepal.
Nepal J Ophthalmol. 2021 Jan;13(25):137-140. doi: 10.3126/nepjoph.v13i1.29021.
This is a case of case of acute gonococcal conjunctivitis in a 2.5 years old female child.
A 2.5 years old female child presented with redness, purulent and profuse discharge from left eye with associated upper eyelid swelling. The culture of conjunctival swab revealed Neisseria gonorrhoeae. The child was treated with intravenous antibiotics and fortified medications.
Unlike young adults and newborn gonococcal conjunctivitis (GCC), children can have a nonsexual mode of transmission and could be seen in an unusual age group. For the management of the diseases, proper history including sexual abuse history and thorough physical examination is mandatory, which is sometimes difficult in a developing country. Gonococcal conjunctivitis in the toddler group should be kept in consideration.
这是一例 2.5 岁女性儿童急性淋球菌性结膜炎病例。
一名 2.5 岁女性儿童左眼出现发红、脓性且大量分泌物,伴有上眼睑肿胀。结膜拭子培养显示淋病奈瑟菌。患儿接受了静脉注射抗生素和强化药物治疗。
与年轻成人和新生儿淋球菌性结膜炎(GCC)不同,儿童可能通过非性传播途径感染,且可能出现在不常见的年龄段。对于此类疾病的治疗,包括性虐待史在内的详细病史和全面的体格检查是必要的,但在发展中国家有时难以实现。幼儿淋球菌性结膜炎也应予以考虑。