Gonococcal ophthalmia neonatorum: a case report

Med Sante Trop. 2018 Nov 1;28(4):443-445. doi: 10.1684/mst.2018.0844.

Abstract

A baby born at home 14 hours earlier was brought to the neonatology department with bilateral upper palpebral chemosis with purulent secretions and pseudomembranes, with no general signs of infection. The gram staining of a secretion sample shows the presence of Neisseria gonorrhoeae. Intramuscular ceftriaxone treatment was initiated, combined with topical application of rifamycin, dexamethasone, and oxytetracycline. Complete healing without sequelae was obtained after two weeks. This case presents an opportunity to review this preventable pathology and its treatment. The only effective way to prevent it is to raise the awareness of disadvantaged population about the value of antenatal care.

Keywords: Mali; Neisseria gonorrhoeae; neonatal conjunctivitis; prenatal consultations.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Ceftriaxone / therapeutic use
  • Dexamethasone / therapeutic use
  • Female
  • Glucocorticoids / therapeutic use
  • Humans
  • Infant, Newborn
  • Ophthalmia Neonatorum / drug therapy*
  • Oxytetracycline / therapeutic use
  • Rifamycins / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Glucocorticoids
  • Rifamycins
  • Ceftriaxone
  • Dexamethasone
  • Oxytetracycline