IDCases (Jan 2023)

Primary meningococcal conjunctivitis in an adult patient

  • Pushpinder Kanda,
  • Sarantos Ioannidis,
  • Wei Sim,
  • Bonnie Weston,
  • Mona Koaik

Journal volume & issue
Vol. 32
p. e01749

Abstract

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Primary meningococcal conjunctivitis from Neisseria meningitidis is a rare cause for acute, purulent conjunctivitis most commonly presenting in children. Here we present a case of primary meningococcal conjunctivitis in an adult patient with mild signs/symptoms mimicking non-gonococcal bacterial conjunctivitis. The patient was immediately treated with topical and systemic antibiotics. Here we highlight that an early diagnosis of a mild case can be missed thus, clinicians need to keep a high index of suspension as prompt recognition is important to initiate appropriate systemic antimicrobial therapy to prevent systemic disease.

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