Which finding is associated with gonococcal conjunctivitis in neonates?

Gonococcal conjunctivitis in neonates is a severe bacterial infection caused by Neisseria gonorrhoeae, typically acquired at birth as the infant passes through the infected birth canal of the mother. This condition is characterized by a purulent discharge that can lead to significant complications if not promptly treated.

The presence of corneal perforation is particularly concerning and signifies a severe case of gonococcal conjunctivitis that has progressed without adequate intervention. If untreated, the infection can cause substantial inflammation and tissue necrosis, resulting in perforation of the cornea. This is in contrast to other forms of conjunctivitis where such severe complications are less common.

In summary, corneal perforation represents a critical and severe finding associated with gonococcal conjunctivitis in neonates, highlighting the urgency of diagnosis and treatment.