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KMID : 0360220220630090790
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Journal of the Korean Ophthalmological Society
2022 Volume.63 No. 9 p.790 ~ p.794
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Two Cases of Adult Inclusion Conjunctivitis Masquerading as Chronic Conjunctivitis
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Park Keon-Woo
Yun Sang-Hun
Jeong Da-Eun
Koh Jae-Woong
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Abstract
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Purpose: To report two cases of adult inclusion conjunctivitis masquerading as chronic conjunctivitis.
Case summary: (Case 1) A 34-year-old man presented with a foreign body sensation in his right eye for 2 months. At the first visit, slit lamp examination showed follicles on the inferior palpebral conjunctiva. Chlamydia trachomatis immunoglobulin M (IgM) antibody and polymerase chain reaction (PCR) tests were positive. The patient was prescribed doxycycline for 1 week, which improved the symptoms, followed by gentamicin and levofloxacin for an additional 5 days, which further improved the clinical symptoms and conjunctivitis. (Case 2) A 39-year-old man presented with right eye pain and redness for 5 months. At the first visit, slit lamp examination showed follicles on the inferior palpebral conjunctiva. Chlamydia trachomatis IgM antibody and PCR tests were positive. After 1 week of doxycycline treatment, the clinical symptoms and conjunctivitis improved.
Conclusions: Because adult inclusion conjunctivitis caused by chlamydial infection has non-specific symptoms, it can be misdiagnosed as chronic conjunctivitis. A detailed medical history and appropriate diagnostic tests are necessary to make this diagnosis.
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KEYWORD
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Adult inclusion conjunctivitis, Chlamydia trachomatis, Polymerase chain reaction, Sexually transmitted disease
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