J.ophthalmol.(Ukraine).2021;1:76-80.
http://doi.org/10.31288/oftalmolzh202117680
Received: 03 June 2020; Published on-line: 12 February 2021
A case of endophthalmitis associated with gonococcal sepsis
T. A. Krasnovid 1, I. V. Svystunov 2, O. S. Sidak-Petretskaia 1, N. I. Bondar ¹
1 SI "The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine"; Odesa (Ukraine)
2 Shupyk National Medical Academy of Postgraduate Education;
Kyiv (Ukraine)
TO CITE THIS ARTICLE: Krasnovid TA, Svystunov IV, Sidak-Petretskaia OS, Bondar NI. A case of endophthalmitis associated with gonococcal sepsis. J.ophthalmol.(Ukraine).2021;1:76-80. http://doi.org/10.31288/oftalmolzh202117680
Background: Gonococcal ocular lesions develop most commonly due to poor hygiene habits, when the infection is transmitted by eye-hand contact; in addition, they may develop when the infection is transported to the eye as a result of hematogenous or lymphogenous spread.
Purpose: To present a rare case of endophthalmitis secondary to gonococcal sepsis, and to highlight its clinical features.
Material and Methods: Visual acuity assessment, comprehensive eye examination, and microbiological examination.
Results: Patient’s history was significant for acute suppurative gonococcal prostatitis (with acute retention of urine, and severe sepsis with liver abscess, and suppurative tonsillitis), for which he had been treated as an in-patient at the Department of Urology of the city hospital. In addition, he had suppurative blepharitis of the left eye. A week after he was discharged from the Department of Urology, he was hospitalized to the Department of Ocular Trauma of the Filatov institute with the diagnosis of endophthalmitis in the left eye. The patient poorly responded to treatment, and clinical manifestations of endophthalmitis were becoming more and more severe. He underwent evisceration of the left eye.
Conclusion: Consultations of allied health professionals and multiprofessional management of gonorrhea patients are required to prevent complications in various organs and systems, should gonococcal sepsis develop.
Keywords: gonococcal infection, sepsis, endophthalmitis, evisceration
References
1.Rowley J. Hoorn SV, Korenromp E, et al. Chlamydia, gonorrhea, trichomoniasis and syphilis: global prevalence and incidence estimates. Bull World Health Organ. 2019 Aug 1;97(8):548-62.
2.Molochkov VA, Ivanov OI, Chebotariov VV (eds). [Sexually transmitted infections: Clinical features, diagnosis and treatment]. Moscow: JSC Meditsina Publishing House; 2006. p.356-70. Russian.
3.Skripkin IuK, Mordovtsev VN (eds). [Skin and venereal diseases: A guide for physicians. Two volumes]. 2nd edn (revised). Vol. 1. Moscow: Meditsina; 1999. p.608-29. Russian.
4.Levens E. Disseminated gonococcal infection. Prim Care Update Ob Gyns. 2003;10(5):217–9.
5.Shaposhnikov OK, editor. [Venereal diseases: A guide for physicians]. 2nd edn (revised). Moscow: Meditsina; 1991. p.350-1. Russian.
6.Wolff K, Goldsmith LA, Katz SI, et al (eds). Potekaieva NN, Lvova AN (transl. eds). [Fitzpatrick's Dermatology in General Medicine]. Vol. 3. Moscow: Binom; 1991. p.2173. Russian.
The authors declare no conflict of interest which could influence their opinions on the subject or the materials presented in the manuscript.