Case ReportsPrimary Meningococcal Conjunctivitis in an AdultAndreoli, Christopher M MD*; Wiley, Henry E MD†; Durand, Marlene L MD‡; Watkins, Lynnette M MD*§Author Information From the *Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts; §Emergency Ophthalmology Services, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts; ‡Department of Infectious Diseases, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts; and †The Wilmer Ophthalmological Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland. Received for publication August 27, 2003; accepted January 28, 2004. Reprints: Christopher M. Andreoli, MD, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, Massachusetts 02114 (e-mail: firstname.lastname@example.org). Cornea: October 2004 - Volume 23 - Issue 7 - p 738-739 doi: 10.1097/01.ico.0000126316.82648.56 Buy Metrics Abstract Purpose To describe a case of primary meningococcal conjunctivitis mimicking epidemic keratoconjunctivitis. Methods Review of a case history and current literature. Results A 28-year-old man presented with 5 days of a bilateral follicular conjunctivitis and subepithelial corneal infiltrates. Initial diagnosis of adenoviral conjunctivitis was made. Initial Gram stain of conjunctival exudates was negative. Cultures grew Neisseria meningitidis. Systemic antibiotics were instituted with adjunctive topical therapy. The conjunctivitis resolved with no evidence of systemic invasion. Conclusions The clinical picture of Neisseria meningitidis conjunctivitis can overlap with other infectious organisms including adenovirus. Early diagnosis and systemic antibiotic therapy are critical to prevent bacteremic spread of infection. © 2004 Lippincott Williams & Wilkins, Inc.