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Neisseria gonorrhoeae as a Rare Cause of Preseptal Cellulitis

Adamson, Paul C. MD, MPH*; Judson, Seth D. MD; Klausner, Jeffrey D. MD, MPH*,‡; Kelesidis, Theodoros MD, PhD*

doi: 10.1097/OLQ.0000000000001055
Case Reports

Neisseria gonorrhoeae is a rare cause of preseptal cellulitis, but infections can be severe. Rapid diagnosis is critical and can be expedited by nucleic acid amplification tests. Contact isolation precautions are encouraged for hospitalized patients with gonococcal preseptal cellulitis and a prolonged course of antibiotics is recommended.

We report a rare case of Neisseria gonorrhoeae leading to preseptal cellulitis in an adult female patient and discuss diagnostic, transmission, and treatment considerations.

From the *Division of Infectious Diseases, David Geffen School of Medicine at UCLA

Division of Internal Medicine, David Geffen School of Medicine at UCLA

Fielding School of Public Health, University of California, Los Angeles, CA

Acknowledgments: The authors would like to thank the patient for consenting to participate in this case report. The authors would also like to thank Leanne Mortimer, PhD for laboratory contributions. All authors declare no conflicts of interest.

Conflicts of Interest and Sources of Funding: None declared.

Correspondence: Paul Adamson, MD, MPH, Division of Infectious Diseases, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue CHS 37-121, Los Angeles, CA 90095-1688. E-mail:

Received for publication April 27, 2019, and accepted July 12, 2019.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text, and links to the digital files are provided in the HTML text of this article on the journal’s Web site (

Online date: July 29, 2019

© Copyright 2019 American Sexually Transmitted Diseases Association