John Libbey Eurotext

Médecine et Santé Tropicales


Gonococcal ophthalmia neonatorum: a case report Volume 28, issue 4, Octobre-Novembre-Décembre 2018


  • Figure 1
  • Figure 2
  • Figure 3
1 Hôpital Hangadoumbo Moulaye Touré, Gao, Mali
2 Institut d’ophtalmologie tropicale de l’Afrique, Bamako, Mali
3 Programme national de santé oculaire, Bamako, Mali
* Correspondance
  • Key words: neonatal conjunctivitis, Neisseria gonorrhoeae, prenatal consultations, Mali
  • DOI : 10.1684/mst.2018.0844
  • Page(s) : 443-5
  • Published in: 2018

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.