A 25-year-old woman presents with unilateral eye redness, purulent discharge, and eyelid swelling. She also mentions having had a sore throat and fever two weeks ago. What could be the cause?
Given the preceding sore throat and fever, and the current symptoms, the patient may have gonococcal conjunctivitis, caused by Neisseria gonorrhoeae, which she might have contracted from a systemic infection or through autoinoculation. Urgent ophthalmologic evaluation is necessary, and she should be started on systemic antibiotics.