A 30-year-old male with corneal opacity and a rapidly progressing ulcer

Gonococcal keratoconjunctivitis is a rapidly progressing and aggressive infection caused by Neisseria gonorrhoeae. We report a case of a patient who presented keratoconjunctivitis with an opacity in the left cornea that progressed into an ulcerative lesion despite initial treatment with antibiotic eye drops. Gram stains from the purulent discharge of the left eye showed gram-negative diplococci, and the culture from the ocular discharge was positive for Neisseria gonorrhoeae. Resolution was achieved with the administration of 2g of intramuscular ceftriaxone in a single dose, and the patient had no sequelae.