Gonococcal conjunctivitis despite successful treatment of male urethritis syndrome

Abstract

We report a case of progressive, cephalosporin-susceptible, Neisseria gonorrhoeae conjunctivitis despite successful treatment of male urethritis syndrome. We hypothesize that conjunctival infection progressed due to insufficient penetration of cefixime and azithromycin and point out that extra-genital infection and male urethritis may not be cured simultaneously in settings where the syndromic approach is used.