Document Detail


Primary meningococcal conjunctivitis in an adult.
MedLine Citation:
PMID:  15448506     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To describe a case of primary meningococcal conjunctivitis mimicking epidemic keratoconjunctivitis. METHODS: Review of a case history and current literature. RESULTS: A 28-year-old man presented with 5 days of a bilateral follicular conjunctivitis and subepithelial corneal infiltrates. Initial diagnosis of adenoviral conjunctivitis was made. Initial Gram stain of conjunctival exudates was negative. Cultures grew Neisseria meningitidis. Systemic antibiotics were instituted with adjunctive topical therapy. The conjunctivitis resolved with no evidence of systemic invasion. CONCLUSIONS: The clinical picture of Neisseria meningitidis conjunctivitis can overlap with other infectious organisms including adenovirus. Early diagnosis and systemic antibiotic therapy are critical to prevent bacteremic spread of infection.
Authors:
Christopher M Andreoli; Henry E Wiley; Marlene L Durand; Lynnette M Watkins
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Cornea     Volume:  23     ISSN:  0277-3740     ISO Abbreviation:  Cornea     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-09-27     Completed Date:  2004-12-02     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8216186     Medline TA:  Cornea     Country:  United States    
Other Details:
Languages:  eng     Pagination:  738-9     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA. christopher_andreoli@hms.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Bacterial Agents / therapeutic use
Ceftriaxone / therapeutic use
Diagnosis, Differential
Drug Therapy, Combination
Humans
Keratoconjunctivitis / diagnosis*
Male
Meningitis, Meningococcal / diagnosis*,  drug therapy,  microbiology
Neisseria meningitidis* / isolation & purification
Penicillins / therapeutic use
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Penicillins; 73384-59-5/Ceftriaxone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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