Ver el código de «Gonorrheal conjunctivitis»

==Background==
*Caused by [[Neisseria gonorrhoeae]]
*Usually spread from genital-hand-eye contact in the young sexually active population
*Neonates can acquire it from the birth canal

==Clinical features==
[[File:Membranous conjunctivitis.jpg|thumb|Typical "membranous" conjunctivitis, seen with gonorrheal conjunctivitis.]]
*Abrupt onset
*Copious purulent discharge (reforms quickly after wiping away)
*Marked conjunctival injection/chemosis
*Lid swelling
*Globe tenderness through closed lids
*Preauricular [[lymphadenopathy]] 
*May or may not be associated with features of [[urethritis]]

===Neonates===
*3-5 days postpartum
*Bilateral discharge
*May be localized to other organs ([[arthritis]], [[meningitis]], [[pneumonia]]) or may be disseminated

==Differential Diagnosis==
{{Conjunctivitis DDX}}

==Evaluation==
*Gram staining for gram-negative diplococci
*Cultures for Neisseria

==Management==
{{Bacterial Conjunctivitis Antibiotics}}

*Eye irrigation (saline)
*Systemic [[antibiotics]] for [[gonorrhea]]
*Urgent referral to ophtho

==Disposition==
*Infant=Admit?
*Adult=Discharge
**Unless evidence of complication or immunodeficiency

===Complications===
*Ulceration
*Perforation

==See Also==
*[[Conjunctivitis]]
*[[Sexually Transmitted Diseases (STD)]]

==References==
<references/>
Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55. 

[[Category:Ophthalmology]]
[{Category:ID]]