1. Gonococcal dacryoadenitis complicated by orbital cellulitis: a case report.
- Author
-
Foo VHX and Teh GH
- Subjects
- Humans, Male, Adult, Eye Infections, Bacterial microbiology, Eye Infections, Bacterial diagnosis, Eye Infections, Bacterial drug therapy, Female, Tomography, X-Ray Computed, Drug Therapy, Combination, Ceftriaxone therapeutic use, Dacryocystitis microbiology, Dacryocystitis diagnosis, Dacryocystitis drug therapy, Gonorrhea diagnosis, Gonorrhea microbiology, Gonorrhea drug therapy, Gonorrhea complications, Orbital Cellulitis microbiology, Orbital Cellulitis diagnosis, Orbital Cellulitis drug therapy, Anti-Bacterial Agents therapeutic use, Neisseria gonorrhoeae isolation & purification
- Abstract
Gonococcal dacryoadenitis is uncommon, and its diagnosis may be delayed especially if there is a low index of clinical suspicion. Making an early diagnosis is extremely important because in some cases the organism may spread contiguously, leading to vision-threatening sequelae such as corneal perforation. The authors present a case report of a patient diagnosed with gonococcal dacryoadenitis complicated by orbital cellulitis. Our case demonstrates that in all cases of purulent dacryoadenitis, urgent evaluation, cultures and treatment is crucial, and it is prudent to consider gonococcal dacryoadenitis as a rare but possible differential in patients who are sexually active with an unexplained cause for dacryoadenitis.
- Published
- 2025
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