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LTC John K. Podgore, DO; King K. Holmes, MD, PhD

JAMA. 1981;246(3):242-243.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE SEVERITY and complications of ocular gonococcal infection are well recognized. The incubation period in neonates is one to three days, with the appearance of a profuse purulent conjunctival discharge accompanied by marked edema and hyperemia of the eyelids¹ by five days after exposure. Cases with incubation periods up to 19 days have been reported after inoculation of the eye with urine contaminated by gonococci, but a marked exudative response occurred with the onset of symptoms.² Rapid diagnosis and treatment are thought essential to prevent serious ocular damage. The conjunctival inflammatory reaction may be complicated by extension and penetration into the corneal epithelium. Corneal involvement has been regarded as a common feature of untreated cases.

There has been increasing evidence that Neisseria gonorrhoeae may colonize the genital tract, anal canal, and oropharynx without producing symptoms or signs of inflammation. However, ocular gonococcal infection or colonization with minimal or . . . [Full Text PDF of this Article]

Author Affiliations
USA

From the Departments of Pediatrics and Pathology, Madigan Army Medical Center, Tacoma, Wash (Dr Podgore); and the Department of Medicine, University of Washington and United States Public Health Service Hospital, Seattle (Dr Holmes).

Footnotes
The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

Reprint requests to Department of Pathology, Madigan Army Medical Center, Tacoma, WA 98431 (Dr Podgore).

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