A 56-year-old male presented with a 1-day history of pruritic, painful right eye with associated mucopurulent discharge, blurry vision, headache and photosensitivity. He denied new sexual contacts or injury. In the emergency department, a swab of the eyelid was cultured. The culture revealed round, wet, gray colonies on blood, Columbia NaladixicAcid Agar (CNA), chocolate agar and Thayer-Martin agar plates. The colonies were nonhemolytic on the blood agar. The colonies were also oxidase positive. The specimen was then sent to MALDI-TOF to confirm the diagnosis. A Polymerase Chain Reaction (PCR) urine test for chlamydia and gonorrhoeae was collected on the same day and returned with a negative result. 

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Author Information

Anne Marcinkowski, Medical Student, Viginia Commonwealth University School of Medicine
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