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Swollen eyelids
corneal ulcer
Fever
Redness of eyes
Neisseria
gonorrhoeae- is a species of Gram-negative coffee bean-shaped diplococci bacteria responsible for the sexually transmitted infection gonorrhea.
is from genitalia to hand to eye contact. Contact with the secretions from infected mucosal surfaces during sexual acts or vaginal birth. Sharing a bed with an infected person.
Transmission
A presumptive diagnosis and treatment of gonococcal conjunctivitis is made based on the identification of gram negative diplococci in conjunctival scrapings by the use of smears and bacterial cultures.
Gram stain of the conjunctival discharge which demonstrates gram negative diplococci
is important to treat all sexual partners simultaneously to prevent reinfection. It is prudent to examine all sexual partners for other venereal diseases (gonorrhea, syphilis). Treatment consists of systemic antibiotics; topical antibiotics are relatively ineffective in the treatment of eye disease.
It
Single intramuscular injection of cefotaxime (it has broad spectrum activity against Gram positive and Gram negative bacteria). Ceftriaxone (Rocephin)- Has high degree of stability in presence of beta-lactamases, both penicillinases and cephalosporinases, of gram-negative and gram-positive bacteria. Erythromycin Opthalmic Ointment