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May 14, 1982

Gonococcal Conjunctivitis

JAMA. 1982;247(18):2499. doi:10.1001/jama.1982.03320430023017

To the Editor.—  Podgore and Holmes recently reported two cases of gonococcal conjunctivitis with minimal or no symptoms or inflammatory response (1981;246:242). They were unable to find other well-documented reports of asymptomatic gonococcal conjunctivitis. We previously described an adult who was asymptomatic for 13 days after accidental conjunctival inoculation of gonococci, though she received no prophylactic topical or systemic antimicrobial therapy (1979;241:274). They cited other cases of ocular gonococcal infection with incubation periods up to 19 days1 that differed from the patients they described, in that symptoms and a marked exudative response subsequently developed. The patients of Drs Podgore and Holmes were treated on days 22 and 10, respectively, for their infections. If treatment had not been received, however, symptoms and marked inflammation might also have developed in their patients.Drs Podgore and Holmes reemphasized our previous suggestion that relatively prolonged asymptomatic gonococcal ocular infections may occur, as well as