Diferencia entre revisiones de «Chlamydia conjunctivitis»
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| Línea 18: | Línea 18: | ||
#Starting 5-12 days after birth | #Starting 5-12 days after birth | ||
===Adults== | ===Adults=== | ||
#Infection can be subacute or chronic | #Infection can be subacute or chronic | ||
#Most common in young, sexually active persons aged 18 to 30 years | #Most common in young, sexually active persons aged 18 to 30 years | ||
| Línea 25: | Línea 25: | ||
#Mucopurulent discharge | #Mucopurulent discharge | ||
#Preauricular adenopathy | #Preauricular adenopathy | ||
==DDx== | ==DDx== | ||
Revisión del 23:37 30 jul 2011
Background
- Two types:
- Trachoma
- Serotypes A through C
- Chronic keratoconjunctivitis
- Most common form of preventable blindness in the world
- Trachoma
- Inclusion conjunctivitis
- Serotypes D through K
- Common, primarily sexually transmitted disease
- Affects both newborns and adults
Diagnosis
Newborns
- Tearing
- Conjunctival inflammation
- Eyelid swelling
- Moderate discharge
- Starting 5-12 days after birth
Adults
- Infection can be subacute or chronic
- Most common in young, sexually active persons aged 18 to 30 years
- Unilateral or bilateral redness
- Foreign body sensation
- Mucopurulent discharge
- Preauricular adenopathy
DDx
Treatment
Adult
- Systemic antibiotics
- Azithromycin 1g PO x 1
- Topical antibiotics
- Topical erythromycin ointment BID-TID x 2-3 weeks
- Consider CFTX for empiric gonorrhea coverage
- Follow-up with ophtho within 1 week
Neonatal
Inclusion conjunctivitis
- Systemic antibiotics
- Erythromycin elixir 50 mg/kg/d divided QID
- Topical antibiotics
- Erythromycin ointment QID
- Consultation with ophthalmology
- Special cultures may be required
See Also
Source
- Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55.